Provider Type Icon

DR. JORDAN SERN YUANG LIM MD NPI 1417479882


NPI Information

NPI: 1417479882
Provider Name: DR. JORDAN SERN YUANG LIM, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

PECOS Registration: Yes

Address:
250 N ARCADIA AVE
DECATUR, GA
ZIP 30030
Phone: (404) 329-2222
Get Directions

DR. Jordan Sern Yuang Lim, MD is a mohs-micrographic surgery dermatology in Decatur, GA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Jordan Sern Yuang Lim, MD NPI is 1417479882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 N ARCADIA AVE
DECATUR, GA
ZIP 30030-115
Phone: (404) 329-2222

The NPI 1417479882 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 6/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology35.146581OHIONo
2207ND0101XDermatologyMOHS-Micrographic Surgery35.146581OHIONo
3207NS0135XDermatologyProcedural Dermatology11670GEORGIANo
4390200000XStudent in an Organized Health Care Education/Training ProgramMT214596PENNSYLVANIANo
5207ND0101XDermatologyMOHS-Micrographic Surgery95927GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.