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TRAN MEDICAL CLINIC PC
NPI 1164066122
Clinic/Center in Lilburn, GA

Active since November 03, 2019CLIA 11D2224724 · Microscopy
605 BEAVER RUIN RD NW STE C, LILBURN, GA 30047(770) 277-7202(770) 277-3270 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2021, Nov 3, 2019 (2 updates tracked since 2019).

About Tran Medical Clinic Pc NPPES

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

TRAN MEDICAL CLINIC PC (NPI 1164066122) is a healthcare organization registered as a clinic/center in Lilburn, Georgia and active in the NPI registry since November 2019. The organization holds a CLIA Microscopy certificate valid through May 13, 2027 and lists Trung D Tran, President, as its authorized official.

NPPES Registry Identity

NPI1164066122
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTRAN MEDICAL CLINIC PC
Location Address605 BEAVER RUIN RD NW STE CLilburn, GA 30047-3430
Mailing Address605 Beaver Ruin Rd Nw Ste CLilburn, GA 30047-3430 · (770) 277-7202
Phone(770) 277-7202
Fax(770) 277-3270
Organization SubpartNo
Authorized OfficialTrung D TranPresident · (770) 277-7202
Enumeration DateNovember 3, 2019
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1164066122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
605 BEAVER RUIN RD NW STE C, Lilburn, GA 30047
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tran Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tran Medical Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Trung Tran, MD
Internal Medicine
NPI 1932202983
2525 CUMBERLAND PARKWAY KAISER PERMANENTE CUMBERLAND MEDICAL CENTER DEPT OF AFT
Atlanta, GA 30339
(770) 431-4149
✔ PECOS✔ Accepts Medicare20 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2224724

Tran Medical Clinic, PC · Lilburn, GA
Active · expires May 13, 2027
CLIA Number11D2224724
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorTrung Dien Tran
Laboratory Phone(770) 277-7202
Laboratory LocationTran Medical Clinic, PC605 Beaver Ruin Road, Suite C, Lilburn, GA 30047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Tran Medical Clinic PC's NPI number?

The NPI number for Tran Medical Clinic PC is 1164066122. It was assigned to this organization in the NPPES registry on November 3, 2019.

Where is Tran Medical Clinic PC located?

Tran Medical Clinic PC is located at 605 Beaver Ruin Rd NW Ste C, Lilburn, GA 30047. The listed phone number is (770) 277-7202.

What is Tran Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tran Medical Clinic PC enrolled in Medicare?

Yes. Tran Medical Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tran Medical Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Tran Medical Clinic PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tran Medical Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2224724) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tran Medical Clinic PC was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.