Individual provider Active NPI

Afua Dufie Addo Vanderpuije, MD

  • Internal Medicine Physician
  • Lilburn, GA
National Provider Identifier
1346826302
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
100832 Issued in GA
Practice address
4045 Five Forks Trickum Rd SW Ste C13
Lilburn, GA 30047-7630
Phone
(470) 415-8328
NPI assigned
Mar 21, 2021
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 100832 GA Primary

Addresses

Primary practice location

4045 Five Forks Trickum Rd SW Ste C13
Lilburn, GA 30047-7630

Mailing address

970 Parkside Wood CT
Lawrenceville, GA 30043-7338

Other practice location 1

1270 Prince Ave Ste 201
Athens, GA 30606-2789
Phone (706) 475-7055

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240903000079 GA Practitioner - Internal Medicine 8729476841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

3055 Breckinridge Blvd
Suite 300
Duluth, GA 30096-7562
Phone (770) 931-5130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12732GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

3055 Breckinridge Blvd
Ste 300
Duluth, GA 30096
Phone (770) 931-5130

4045 Five Forks Trickum Rd SW
Ste C13
Lilburn, GA 30047
Phone (470) 415-8328

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1346826302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PARKSIDE WOOD CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 FIVE FORKS TRICKUM RD SW STE C13",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477630",
            "telephone_number": "470-415-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Prince Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062789",
            "country_code": "US",
            "telephone_number": "706-475-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDO VANDERPUIJE",
        "first_name": "AFUA",
        "middle_name": "DUFIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "100832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.