IndividualActive
Min Jie Tan, MD
NPI 1033168919 · Internal Medicine Physician · Lilburn, GA
Min Jie Tan, MD is a Internal Medicine Physician provider in Lilburn, GA (NPI 1033168919).
Provider details
- NPI number
- 1033168919
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 041492 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
455 Beaver Ruin Rd Nw
Lilburn, GA 30047-3413
Phone: (770) 923-7778
Fax: (770) 923-0180
Street-level locationGet directions
Mailing address
475 Philip Blvd
Lawrenceville, GA 30046
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2014-04-18
Frequently asked questions
- What is Min Jie Tan's NPI number?
- Min Jie Tan's National Provider Identifier (NPI) is 1033168919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Min Jie Tan's specialty?
- Min Jie Tan is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Min Jie Tan located?
- Min Jie Tan's practice location on file with NPPES is 455 Beaver Ruin Rd Nw, Lilburn, GA 30047-3413.
- What is Min Jie Tan's phone number?
- The practice phone number listed in the NPPES registry for Min Jie Tan is (770) 923-7778.
- Is Min Jie Tan's NPI active?
- Yes — Min Jie Tan's NPI (1033168919) is active in the NPPES registry as of the last update on 2014-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.