Individual provider Active NPI

James T Lin, M.D.

  • Specialist
  • Elk Grove, CA
National Provider Identifier
1851406540
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G86229 Issued in CA
Practice address
8021 Laguna Blvd
Suite 3
Elk Grove, CA 95758-7920
Phone
(916) 525-1559
Fax
(916) 525-1578
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G86229 CA Primary

Addresses

Primary practice location

8021 Laguna Blvd
Suite 3
Elk Grove, CA 95758-7920

Mailing address

8021 Laguna Blvd
Suite 3
Elk Grove, CA 95758-7920
Phone (916) 525-1559

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
I20250930004032 GA Practitioner - Plastic and Reconstructive Surgery 1254390594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2002 Palmyra Rd
Suite 201
Albany, GA 31701-1591

2002 Palmyra Rd
Suite 201
Albany, GA 31701-1593

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Jun 27, 2025 Accepting new patients
New York Group for Plastic Surgery, LLP Past Accepting new patients
Zahid B.M. Niazi M.D., Inc. PastSince Oct 1, 2004 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Organizations & group practices 3

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851406540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 LAGUNA BLVD",
            "address_2": "SUITE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587920",
            "telephone_number": "916-525-1559",
            "fax_number": "916-525-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 LAGUNA BLVD",
            "address_2": "SUITE 3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587920",
            "telephone_number": "916-525-1559",
            "fax_number": "916-525-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G86229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.