Active NPI
Thaihang Nguyen, DO
- Family Medicine Physician
- Douglas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 069494
- Practice address
- 100 Doctors Dr Ste G
Douglas, GA 31533-2211 - Phone
- (912) 384-1477
- Fax
- (912) 389-1558
- NPI assigned
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 069494 | GA | Primary |
Addresses
Primary practice location
100 Doctors Dr Ste G
Douglas, GA 31533-2211
Mailing address
PO Box 1377
Douglas, GA 31534-1377
Phone (912) 384-1477
Other practice location 1
1101 Ocilla Rd
Douglas, GA 31533-2207
Phone (912) 384-1900
Other practice location 2
205 Shirley Ave
Douglas, GA 31533-2327
Phone (912) 383-6966
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003135639A | Medicaid | GA | |
| 069494 | Other | GA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Doctors Dr
Douglas, GA 31533-2211
1508 Tebeau St
Waycross, GA 31501-5327
Phone (912) 384-5832
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRH Physician Practices, LLC | Current | Accepting new patients | |
| Coffee Emergency Group LLC | Current | Accepting new patients | |
| CRH Physician Practices LLC | Past | Accepting new patients |
Locations
205 Shirley Ave
Douglas, GA 31533
Phone (912) 260-5400
1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641
100 Doctors Dr
Ste G
Douglas, GA 31533
Phone (912) 384-6186
1100 Ward Street Ext W
Douglas, GA 31533
Phone (912) 384-1470
1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575
Interoperability endpoints
- thaihang.nguyen.1@9964.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Douglas, GA
- NPI 1710046073
-
- Emergency Medicine Physician
- Douglas, GA
- NPI 1023353489
-
- Surgery Physician
- Waycross, GA
- NPI 1154794857
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waycross, GA
- NPI 1316120322
-
- Home Health Agency
- Tifton, GA
- NPI 1356524359
-
- General Acute Care Hospital
- Douglas, GA
- NPI 1760419527
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053635078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1377",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315341377",
"telephone_number": "912-384-1477",
"fax_number": "912-384-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOCTORS DR STE G",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315332211",
"telephone_number": "912-384-1477",
"fax_number": "912-389-1558"
}
],
"practiceLocations": [
{
"address_1": "1101 Ocilla Rd",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "GA",
"postal_code": "315332207",
"country_code": "US",
"telephone_number": "912-384-1900",
"fax_number": "912-383-5667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Shirley Ave",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "GA",
"postal_code": "315332327",
"country_code": "US",
"telephone_number": "912-383-6966",
"fax_number": "912-389-2108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAIHANG",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "069494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135639A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "069494",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.