Individual provider Active NPI

Astor T Lim, MD, PC

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1891714887
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018819 Issued in GA
Practice address
3226 Hampton Ave Ste E
Brunswick, GA 31520-4255
Phone
(912) 265-2343
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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 018819 GA Primary

Addresses

Primary practice location

3226 Hampton Ave Ste E
Brunswick, GA 31520-4255

Mailing address

3226 Hampton Ave Ste E
Brunswick, GA 31520-4255
Phone (912) 265-2343

Other identifiers 1

IdentifierTypeStateIssuer
00223022BMedicaidGA

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
I20120531000253 GA Practitioner - Family Practice 8921261959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3226 Hampton Ave
Suite E
Brunswick, GA 31520-4255
Phone (912) 265-2343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018819GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astor T. Lim, MD, PC Family Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

3226 Hampton Ave
Brunswick, GA 31520
Phone (912) 264-4840

3226 Hampton Ave
Ste E
Brunswick, GA 31520
Phone (912) 265-2343

Organizations & group practices 1

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1891714887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE E",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204255",
            "telephone_number": "912-265-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE E",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204255",
            "telephone_number": "912-265-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ASTOR",
        "middle_name": "T",
        "credential": "MD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "018819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00223022B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.