Valery Dinh, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11682 Issued in GA

Practice address

1230 Bald Ridge Marina Rd Ste 300
Cumming, GA 30041-7859

Phone

(770) 814-8222

Fax

(678) 205-5111

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Atlanta DermatologyGroup PAC ID 2163310533, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• North Atlanta Dermatology

  • Dermatology Physician
  • Duluth, GA
  • NPI 1427040799
  Medicare reassignment Care Compare group
• Peachtree Dermatology Associates, PC

  • Specialist
  • Atlanta, GA
  • NPI 1316965213
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1023795531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BALD RIDGE MARINA RD STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417859",
            "telephone_number": "770-814-8222",
            "fax_number": "678-205-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 Hamilton Mill Rd Ste 1106",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305197226",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "fax_number": "678-205-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Johnson Ferry Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626411",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "fax_number": "678-205-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964807",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "fax_number": "678-205-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3370 Paddocks Pkwy",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249119",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "fax_number": "678-205-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "VALERY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prachi Parag Divekar

• Physician Assistant in Cumming, GA
• Providers in Cumming, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.