MIN JIE TAN (MD) – Internal Medicine Physician, NPI 1033168919

MIN JIE TAN (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 041492 (GA). The NPI Number for MIN JIE TAN (MD) is 1033168919

Main info

Male
Name
MIN JIE TAN (MD)
NPI
1033168919
Phone
(770) 995-3300
Address
475 PHILIP BLVD
Enumeration Date
9 May 2006
Last Update Date
18 April 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MIN JIE TAN (MD)

  • 475, Philip Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    STE 100

    LAWRENCEVILLE, GA 30046

    Phone: (770) 995-3300

    Fax: (770) 995-3307

    Type: Mailing

  • 455, Beaver Ruin Road, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States

    LILBURN, GA 300473413

    Phone: (770) 923-7778

    Fax: (770) 923-0180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30046)

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Provider's Procedures

MIN JIE TAN (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA81002Urinalysis, manual test5847

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Frequently asked questions

What is the 10-digit NPI for MIN JIE TAN (MD)?
MIN JIE TAN (MD) — NPI 1033168919 — is the standard way to identify this listing.
Can I rely on MIN JIE TAN (MD) being an active provider?
As of the registry snapshot, MIN JIE TAN (MD) is marked active.
What taxonomy line describes MIN JIE TAN (MD)?
For research purposes, treat MIN JIE TAN (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MIN JIE TAN (MD) based?
MIN JIE TAN (MD) is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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