Phuong Lynh Ta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

50447 Issued in GA

Practice address

914 Vista Drive
Dalton, GA 30721-8654

Phone

(706) 226-3139

Fax

(706) 278-6606

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialty

Internal Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Medical GroupGroup PAC ID 3971575390, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Georgia Home Health Agency, an Amedysis Comp Home health agency, Ringgold, GA, CCN 117028
• Hamilton Home Health Home health agency, Dalton, GA, CCN 117062
• Amedisys Hospice of Dalton Hospice, Dalton, GA, CCN 111643
• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.401

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.

• Cornerstone Medical Group

  • Internal Medicine Physician
  • Dalton, GA
  • NPI 1275515967
  Medicare reassignment Care Compare group NPD
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569
  NPD (past)
• Ringgold Treatment Center LLC

  • Methadone Clinic
  • Ringgold, GA
  • NPI 1417587502
  NPD (past)
• Chattanooga Skin & Cancer Clinic

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1447343694
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventa Hospice, Inc.

  • Community Based Hospice Care Agency
  • Blue Ridge, GA
  • NPI 1184834749
  Care Compare affiliation
• Adventa Hospice, LLC

  • Community Based Hospice Care Agency
  • Dalton, GA
  • NPI 1255380663
  Care Compare affiliation
• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Ringgold, GA
  • NPI 1548218290
  Care Compare affiliation
• Hamilton Medical Center Inc

  • Home Health Agency
  • Dalton, GA
  • NPI 1861480188
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1255338034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 VISTA DRIVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218654",
            "telephone_number": "706-226-3139",
            "fax_number": "706-278-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 VISTA DRIVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218654",
            "telephone_number": "706-226-3139",
            "fax_number": "706-278-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "PHUONG",
        "middle_name": "LYNH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "50447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000911974A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordana Elizabeth Swanson, CADC II
• Megan Rosalie Swartout, OTR/L
• Sean Sweet
• Jerry Alan Swenson, CRNA
• Suzanne Swift, CRNA
• Kauri Tallant, LPC
• Lacy Talmage
• Jessica Tamayo Barrios
• Tammy Tanner
• Christina Tate

• Internal Medicine Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.