Organization Active NPI

N.D. Lien, P.C.

  • Family Medicine Physician
  • Tucker, GA
National Provider Identifier
1063553501
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024046 Issued in GA
Legal business name
N.D. LIEN, P.C.
Practice address
4865 Lavista Rd
Suite a
Tucker, GA 30084-4436
Phone
(770) 270-0290
Fax
(770) 723-0598
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Lien Duc Nguyen, M.D.
Title
President
Phone
(770) 270-0290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 024046 GA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 036656 GA

Addresses

Primary practice location

4865 Lavista Rd
Suite a
Tucker, GA 30084-4436

Mailing address

PO Box 29528
Atlanta, GA 30359-0528
Phone (770) 270-0290

Other identifiers 5

IdentifierTypeStateIssuer
1962443168OtherGALIEN D. NGUYEN, MD
00258596BMedicaidGA
00614116CMedicaidGA
00735622CMedicaidGA
1154358760OtherGADICH V. NGUYEN, MD,EMPLOY

National Provider Directory

National Provider Directory

Locations

4865 Lavista Rd
#A
Tucker, GA 30084
Phone (770) 270-0290

4865 Lavista Rd
Ste A
Tucker, GA 30084
Phone (770) 270-0290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1063553501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29528",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303590528",
            "telephone_number": "770-270-0290",
            "fax_number": "770-723-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 LAVISTA RD",
            "address_2": "SUITE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844436",
            "telephone_number": "770-270-0290",
            "fax_number": "770-723-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.D. LIEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LIEN",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-270-0290",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "024046",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "036656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIEN D. NGUYEN, MD",
            "identifier": "1962443168",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00258596B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00614116C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00735622C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DICH V. NGUYEN, MD,EMPLOY",
            "identifier": "1154358760",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.