Active NPI
Concur Primary Care LLC
- Internal Medicine Physician
- Norcross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CONCUR PRIMARY CARE LLC
- Practice address
- 5395 Jimmy Carter Blvd Ste 500a
Norcross, GA 30093-1502 - Phone
- (470) 822-0101
- Fax
- (470) 822-3701
- NPI assigned
- Mar 28, 2024
- 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
- Nam Huynh, DO
- Title
- Owner
- Phone
- (470) 822-0101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5395 Jimmy Carter Blvd Ste 500a
Norcross, GA 30093-1502
Mailing address
11305 Bell Rd Ste 105
Johns Creek, GA 30097-9504
Phone (470) 822-0101
Other practice location 1
11305 Bell Rd Ste 106
Johns Creek, GA 30097-9504
Phone (470) 822-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11305 Bell Rd
Ste 105
Johns Creek, GA 30097
Phone (470) 822-0101
11305 Bell Rd
Ste 106
Johns Creek, GA 30097
Phone (470) 822-0101
5395 Jimmy Carter Blvd
Ste 500A
Norcross, GA 30093
Phone (470) 822-0101
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1366293433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11305 BELL RD STE 105",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300979504",
"telephone_number": "470-822-0101",
"fax_number": "470-822-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5395 JIMMY CARTER BLVD STE 500A",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300931502",
"telephone_number": "470-822-0101",
"fax_number": "470-822-3701"
}
],
"practiceLocations": [
{
"address_1": "11305 Bell Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Johns Creek",
"state": "GA",
"postal_code": "300979504",
"country_code": "US",
"telephone_number": "470-822-0101",
"fax_number": "470-822-3701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CONCUR PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "HUYNH",
"authorized_official_first_name": "NAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-822-0101",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.