Active NPI
Faustine Luu Dinh, D.O.
- Internal Medicine Physician
- Braselton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 077724
- Practice address
- 1515 River PL Ste 200
Braselton, GA 30517-5603 - Phone
- (770) 848-6140
- Fax
- (770) 848-6141
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL36700 | SC | |
| Internal Medicine Physician | 207R00000X | 077724 | GA | Primary |
Addresses
Primary practice location
1515 River PL Ste 200
Braselton, GA 30517-5603
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
701 Grove Rd
5th Floor Support Tower
Greenville, SC 29605-4210
Phone (864) 455-7882
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fdinh29533@nghs.gadirect.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4365 Johns Creek Pkwy
Suwanee, GA 30024-1059
Phone (678) 957-1910
Hospital & facility affiliations
- Northside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL36700 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Maele Medical PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Suwanee, GA
- NPI 1790822583
-
- Internal Medicine Physician
- Santa Monica, CA
- NPI 1285498485
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1922411537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 RIVER PL STE 200",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175603",
"telephone_number": "770-848-6140",
"fax_number": "770-848-6141"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_2": "5th Floor Support Tower",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-7882",
"fax_number": "864-455-5008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DINH",
"first_name": "FAUSTINE",
"middle_name": "LUU",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL36700",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "077724",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fdinh29533@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1515 River Pl Ste 200",
"city": "Braselton",
"state": "GA",
"country_code": "US",
"postal_code": "305175603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.