Individual provider Active NPI

Linda Clark Golding, PA-C

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1659569820
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0001084 Issued in DE
Practice address
20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone
(302) 644-6860
Fax
(302) 664-6872
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050913 PA
Physician Assistant 363A00000X C5-0001084 DE Primary

Addresses

Primary practice location

20251 John J Williams Hwy
Lewes, DE 19958-4314

Mailing address

20251 John J Williams Hwy
Lewes, DE 19958-4314
Phone (302) 644-6860

Other names 1

  • Linda Clark Melville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000308 PA Practitioner - Physician Assistant 1759520109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0001084DEMDPhysician Assistant
MA050913PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TPS IV of PA, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1659569820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-664-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDING",
        "first_name": "LINDA",
        "middle_name": "CLARK",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050913",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MELVILLE",
            "middle_name": "CLARK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.