Active NPI
N.D. Lien, P.C.
- Family Medicine Physician
- Tucker, GA
National Provider Identifier
1063553501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 024046
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 024046 | GA | Primary |
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962443168 | Other | GA | LIEN D. NGUYEN, MD |
| 00258596B | Medicaid | GA | |
| 00614116C | Medicaid | GA | |
| 00735622C | Medicaid | GA | |
| 1154358760 | Other | GA | DICH V. NGUYEN, MD,EMPLOY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Primary Care Nurse Practitioner
- New Orleans, LA
- NPI 1801415385
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.