Tong M Huynh, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

020172 Issued in GA

Practice address

4775 Jimmy Carter Blvd
Ste 201
Norcross, GA 30093-3760

Phone

(470) 275-4911

Fax

(770) 275-4918

NPI assigned

Oct 12, 2006

Last updated

May 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elina Healthcare Inc

  dba Gwinnett Urgent Care & Family Practice

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1467058743
  Medicare reassignment NPD
• Gwinnett Urgent and Family Care, LLC

  • Clinic/Center
  • Norcross, GA
  • NPI 1710371885
  Authorized official Same address or phone
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1144319575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 JIMMY CARTER BLVD",
            "address_2": "STE 201",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933760",
            "telephone_number": "470-275-4911",
            "fax_number": "470-275-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 JIMMY CARTER BLVD",
            "address_2": "STE 201",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933760",
            "telephone_number": "470-275-4911",
            "fax_number": "770-275-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "TONG",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "020172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000209349J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hien Huynh
• Linh Trac Huynh, PA-C
• Loan Hong Huynh, MD
• Luat Huynh, R.PH
• Patrick Huynh, DO
• Vinh P Huynh, DMD
• I-Siyu, LLC
• Icare Kids Dentistry Inc.
• Iclear Orthodontics and Braces North LLC (Orthodontic excellence)
• Ijb Helathcare Services, PC (Olugbemida Osoba, MD)

• Family Medicine Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.

Verify at the official NPI Registry.