Tran Medical Clinic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TRAN MEDICAL CLINIC PC

Practice address

605 Beaver Ruin Rd NW Ste C
Lilburn, GA 30047-3430

Phone

(770) 277-7202

Fax

(770) 277-3270

NPI assigned

Nov 3, 2019

Organization subpart

No

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

Authorized official

Name

Trung D Tran, MDNPI 1932202983

Title

President

Phone

(770) 277-7202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Trung Dien Tran, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1932202983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1164066122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BEAVER RUIN RD NW STE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473430",
            "telephone_number": "770-277-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BEAVER RUIN RD NW STE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473430",
            "telephone_number": "770-277-7202",
            "fax_number": "770-277-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-03",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-277-7202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine I Tolu-Ajayi, MD
• Tom Noga MD Mental Health for Life PC
• Konnie A Torbahn, PH.D.
• Total Life Wellness LLC
• Le Trac
• Hai Hoang Tran, ATC
• Monica Tran, DMD
• My Loan Thi Tran, DMD
• Quang Huy Vu Tran
• Trinh Tu Tran

• Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.