Individual provider Active NPI

Linda Mae Chin, M.D.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1780665208
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
048885 Issued in GA
Practice address
1921 Whittlesey Rd
Ste 200
Columbus, GA 31904-9213
Phone
(706) 494-1454
Fax
(706) 494-1455
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048885 GA Primary

Addresses

Primary practice location

1921 Whittlesey Rd
Ste 200
Columbus, GA 31904-9213

Mailing address

PO Box 846
Fortson, GA 31808-0846
Phone (706) 494-1454

Other identifiers 2

IdentifierTypeStateIssuer
000881427BMedicaidGA
000881427CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000241 GA Practitioner - Family Practice 9931394418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2421 Brookstone Centre Pkwy
Columbus, GA 31904-4501

6501 Veterans Pkwy
2A
Columbus, GA 31909-3179
Phone (706) 494-1454

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care North, PC Family Medicine CurrentSince Nov 1, 2002 Accepting new patients
Virginia Gastroenterology & Hepatology, Inc. PastSince Dec 1, 2003 Accepting new patients

Locations

1921 Whittlesey Rd
Ste 200
Columbus, GA 31904
Phone (706) 494-1454

6501 Veterans Pkwy
#2A
Columbus, GA 31909
Phone (701) 649-4145

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1780665208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080846",
            "telephone_number": "706-494-1454",
            "fax_number": "706-494-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WHITTLESEY RD",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049213",
            "telephone_number": "706-494-1454",
            "fax_number": "706-494-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "LINDA",
        "middle_name": "MAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000881427B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000881427C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.