Individual provider Active NPI

Kar Lin, PA-C

  • Medical Physician Assistant
  • Smyrna, GA
National Provider Identifier
1821714908
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11204 Issued in GA
Practice address
3903 S Cobb Dr SE Ste 200
Smyrna, GA 30080-6301
Phone
(770) 628-1367
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 11204 GA
Medical Physician Assistant 363AM0700X 11204 GA Primary

Addresses

Primary practice location

3903 S Cobb Dr SE Ste 200
Smyrna, GA 30080-6301

Mailing address

519 Calibre Lake Pkwy SE
Smyrna, GA 30082-7225
Phone (678) 308-4858

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102003471 GA Practitioner - Physician Assistant 7315314457 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11204GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Medical Associates, LLC Medical Current Accepting new patients

Locations

3903 S Cobb Dr SE
Ste 200
Smyrna, GA 30080
Phone (770) 435-3214

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1821714908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CALIBRE LAKE PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300827225",
            "telephone_number": "678-308-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S COBB DR SE STE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806301",
            "telephone_number": "770-628-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "11204",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.