Active NPI
Irene Yilan Lin, MD
- Family Medicine Physician
- Gainesville, GA
National Provider Identifier
1992481931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 112921
- Practice address
- 1439 Jesse Jewell Pkwy NE Ste 102
Gainesville, GA 30501-3806 - Phone
- (770) 219-9445
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15138 | GA | |
| Family Medicine Physician | 207Q00000X | 112921 | GA | Primary |
Addresses
Primary practice location
1439 Jesse Jewell Pkwy NE Ste 102
Gainesville, GA 30501-3806
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Other practice location 1
1447 Harper St Fl 1
Augusta, GA 30912-0020
Phone (706) 721-4588
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719002952 | GA | Order and Referring Only - Family Practice | 5496115677 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1992481931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 JESSE JEWELL PKWY NE STE 102",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013806",
"telephone_number": "770-219-9445"
}
],
"practiceLocations": [
{
"address_1": "1447 Harper St Fl 1",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120020",
"country_code": "US",
"telephone_number": "706-721-4588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "IRENE",
"middle_name": "YILAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "15138",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "112921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.