Active NPI
Phuc Nguyen-Dinh, M.D.
- Public Health & General Preventive Medicine Physician
- Atlanta, GA
National Provider Identifier
1972640233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 38505
- Practice address
- Division of Parasitic Disease Ms F36
CDC 4770 Buford Highway
Atlanta, GA 30341 - Phone
- (770) 488-4435
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 38505 | MA | Primary |
Addresses
Primary practice location
Division of Parasitic Disease Ms F36
CDC 4770 Buford Highway
Atlanta, GA 30341
Mailing address
3142 Kings Arms CT NE
Atlanta, GA 30345-2153
Phone (770) 488-4435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38505 | MA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972640233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3142 KINGS ARMS CT NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452153",
"telephone_number": "770-488-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DIVISION OF PARASITIC DISEASE MS F36",
"address_2": "CDC 4770 BUFORD HIGHWAY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30341",
"telephone_number": "770-488-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN-DINH",
"first_name": "PHUC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MA",
"license": "38505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.