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NAM HUYNH
NPI 1073041695
Hospitalist in Lumberton, NC

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment
395 W 27TH ST, LUMBERTON, NC 28358(910) 739-7551(910) 739-2332 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2023, Jun 16, 2020, May 26, 2017 (3 updates tracked since 2017).

About Nam Huynh NPPES

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

NAM HUYNH (NPI 1073041695) is an individual hospitalist provider in Lumberton, North Carolina, licensed in Georgia (81647) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1073041695
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNAM HUYNH
Location Address395 W 27TH STLumberton, NC 28358-3018
Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-3294 · Fax (678) 312-3282
Phone(910) 739-7551
Fax(910) 739-2332
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 26, 2017
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1073041695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 81647
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 81647 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
395 W 27TH ST, Lumberton, NC 28358
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nam Huynh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082967484
PECOS Enrollment IDI20200619001771
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Nam Huynh reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Om Healthcare LLC
258 mi
Internal Medicine
1083 PARKWAY BLVD
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1902622137 (347) 458-7445
Nh Medical Consultant LLC
291 mi
Internal Medicine
1048 BROOK IVY CT
Lawrenceville, GA 30044
  • Reassigned Medicare billing, Georgia enrollment
NPI 1922958255 (219) 230-2091
Ank Healthcare, LLC
295 mi
Internal Medicine
11305 BELL RD STE 105
Johns Creek, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1750068565 (678) 787-5001
Concur Primary Care LLC
301 mi
Internal Medicine
5395 JIMMY CARTER BLVD STE 500A
Norcross, GA 30093
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1366293433 (470) 822-0101
North Atlanta Professional Services LLC
310 mi
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
NPI 1316959869 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
228 services127 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services69 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
56 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$14.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$59.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

PRADEEP GHIMIRE MD
General Practice
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHRISTOPHER FINK DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHARLES R. BEASLEY M.D.
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
JOHNNY LEE DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
DR. BRITTANY NOELANI SUDDRETH DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
BARAA S A BARAAWI MD
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
PAUL SIERSZULSKI DO
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7557
LEAH OPAL BUMBARGER DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (727) 417-4303

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 Nam Huynh's NPI number?

The NPI number for Nam Huynh is 1073041695. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Nam Huynh located?

Nam Huynh practices at 395 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 739-7551.

What is Nam Huynh's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nam Huynh enrolled in Medicare?

Yes. Nam Huynh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nam Huynh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nam Huynh reassigns Medicare benefits to 5 organizations: Om Healthcare LLC (Athens, GA), Nh Medical Consultant LLC (Lawrenceville, GA), Ank Healthcare, LLC (Johns Creek, GA), Concur Primary Care LLC (Norcross, GA) and North Atlanta Professional Services LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nam Huynh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nam Huynh accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Nam Huynh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nam Huynh affiliated with any hospitals?

According to CMS data, Nam Huynh is affiliated with Piedmont Athens Regional Medical Center, Northside Hospital Gwinnett, Piedmont Rockdale Hospital, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Nam Huynh was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.