Individual provider Active NPI

Dat Phat Vu, MD

  • Anesthesiology Physician
  • Athens, GA
National Provider Identifier
1386023158
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11638 Issued in GA
Practice address
1230 Baxter St
Athens, GA 30606-3712
Phone
(706) 227-3450
NPI assigned
May 26, 2015
Last updated
May 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 11638 GA Primary

Addresses

Primary practice location

1230 Baxter St
Athens, GA 30606-3712

Mailing address

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 227-3450

Other practice location 1

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-0000

Other practice location 2

1120 15th street
Anesthesiology and Perioperative Medicine
Augusta, GA 30912
Phone (706) 721-3871

Other names 1

  • Phat Vu Other name

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
I20220901002666 GA Practitioner - Anesthesiology 4486964616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of AthensGroup PAC ID 2567459902, 55 clinicians
Vituity-Georgia Anesthesia PCGroup PAC ID 6901331339, 24 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 543-3449

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone (706) 453-7331

651 S Milledge Ave
Athens, GA 30605-1250
Phone (706) 543-3449

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11638GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan County Georgia Hospital Authority Current Accepting new patients
St. Mary's Good Samaritan Hospital, Inc. Single Specialty CurrentSince May 17, 2023 Accepting new patients
Vituity-Georgia Anesthesia PC Single Specialty Current Accepting new patients
Anesthesia Consultants of Athens Single Specialty CurrentSince Jul 15, 2022 Accepting new patients
Vituity-Georgia Anesthesia PC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437

651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290

5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

Interoperability endpoints

  • Direct secure messaging: datvu@mmc.medalliesdirect.net

Organizations & group practices 5

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 2

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1386023158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-227-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-227-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011991001",
            "country_code": "US",
            "telephone_number": "413-794-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th street",
            "address_2": "Anesthesiology and Perioperative Medicine",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-3871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "DAT",
        "middle_name": "PHAT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "11638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHAT",
            "last_name": "VU",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.