Individual provider Active NPI

Phuong Anh Dinh, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1760846216
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80044 Issued in GA
Practice address
560 Amsterdam Ave NE Ste D
Atlanta, GA 30306-3479
Phone
(404) 479-5708
NPI assigned
Apr 11, 2016
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 NU
Family Medicine Physician 207Q00000X 80044 GA Primary

Addresses

Primary practice location

560 Amsterdam Ave NE Ste D
Atlanta, GA 30306-3479

Mailing address

560 Amsterdam Ave NE Ste D
Atlanta, GA 30306-3479
Phone (404) 479-5708

Other practice location 1

303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (770) 968-6464

Other practice location 2

1010 Johnson Ferry Rd
Marietta, GA 30068-2108
Phone (770) 579-7980

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pdinh126803@directwellstar.org
Direct Messaging Address pdinh126803@directwellstar.org

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
I20181001001358 GA Practitioner - Family Practice 8224389234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

670 Dekalb Ave SE
Suite 106
Atlanta, GA 30312-1800
Phone (470) 267-0570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80044GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince May 22, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 22, 2019 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Atlanta Medical Center, Inc Family Medicine PastSince Oct 13, 2019 Accepting new patients

Locations

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

560 Amsterdam Ave NE
Ste D
Atlanta, GA 30306
Phone (404) 479-5708

4400 Peachtree Rd NE
Brookhaven, GA 30319
Phone (404) 814-9199

1834 Clairmont Rd
Ste 100
Decatur, GA 30033
Phone (404) 634-4443

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1010 Johnson Ferry Rd
Marietta, GA 30068
Phone (770) 579-7900

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1760846216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 AMSTERDAM AVE NE STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063479",
            "telephone_number": "404-479-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 AMSTERDAM AVE NE STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063479",
            "telephone_number": "404-479-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "770-968-6464",
            "fax_number": "770-968-6461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682108",
            "country_code": "US",
            "telephone_number": "770-579-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "PHUONG ANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "80044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdinh126803@directwellstar.org",
            "affiliation": "N",
            "address_1": "560 Amsterdam Ave NE Ste D",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303063479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdinh126803@directwellstar.org",
            "affiliation": "N",
            "address_1": "1010 Johnson Ferry Rd",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300682108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.