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MIN JIE TAN MD
NPI 1033168919
Internal Medicine in Lilburn, GA

Active since May 09, 2006
455 BEAVER RUIN RD NW, LILBURN, GA 30047(770) 923-7778(770) 923-0180 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Min Jie Tan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIN JIE TAN MD (NPI 1033168919) is an individual internal medicine provider in Lilburn, Georgia, licensed in Georgia (041492) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1033168919
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMIN JIE TANCredential: MD
Location Address455 BEAVER RUIN RD NWLilburn, GA 30047-3413
Mailing Address475 Philip Blvd, Ste 100Lawrenceville, GA 30046 · (770) 995-3300 · Fax (770) 995-3307
Phone(770) 923-7778
Fax(770) 923-0180
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateApril 18, 2014
✔ NPI 1033168919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 041492
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
455 BEAVER RUIN RD NW, Lilburn, GA 30047
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Other Identifiers 1

Medicare UPINB87978GA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWINNETT CLINIC, LTD
Clinic/Center (Multi-Specialty)
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 923-7778
JATAYAH NICOLE SHEED MD
Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 995-3300
MRS. RACHEL POCOCK SHAH MD
Internal Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 923-7778
DR. PADMINI GUNADEVA MD
Family Medicine
455 BEAVER RUIN RD NW
LILBURN, GA 30047
Gwinnett County (770) 923-7778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Min Jie Tan's NPI number?

The NPI number for Min Jie Tan is 1033168919. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Min Jie Tan located?

Min Jie Tan practices at 455 Beaver Ruin Rd NW, Lilburn, GA 30047. The listed phone number is (770) 923-7778.

What is Min Jie Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Min Jie Tan was last updated on April 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.