Quang Huy Vu Tran

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10972 Issued in GA

Practice address

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

Phone

(573) 821-0352

NPI assigned

Apr 12, 2022

Last updated

May 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Elina Healthcare Inc

  dba Gwinnett Urgent Care & Family Practice

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1467058743
  Medicare reassignment

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1538801394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 HALLETTS PEAK PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300440105",
            "telephone_number": "404-723-3471"
        },
        {
            "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": "573-821-0352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4775 Jimmy Carter Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300933760",
            "country_code": "US",
            "telephone_number": "470-275-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "QUANG HUY",
        "middle_name": "VU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT STATE LICENSE",
            "identifier": "10972",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Le Trac
• Tran Medical Clinic PC
• Hai Hoang Tran, ATC
• Monica Tran, DMD
• My Loan Thi Tran, DMD
• Trinh Tu Tran
• Transformations Therapy of Atlanta, LLC
• Transformations Therapy of Atlanta, LLC
• Raven Shonice Traylor, LCSW
• Huy Trinh

• Physician Assistant in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.