Individual provider Active NPI

Thuc Nguyen Doan, NP-C

  • Nurse Practitioner
  • Rome, GA
National Provider Identifier
1063016590
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN215580 Issued in GA
Practice address
1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone
(762) 235-1470
Fax
(706) 238-8081
NPI assigned
Nov 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN215580 GA Primary

Addresses

Primary practice location

1825 Martha Berry Blvd NW
Rome, GA 30165-1625

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519001537 GA Practitioner - Nurse Practitioner 1850790122 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Rome Ways Holdings LLCGroup PAC ID 4082093307, 3 clinicians
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

100 W Walnut Ave
Suite 116
Dalton, GA 30720-8439
Phone (706) 493-5446

120 Greystone Power Blvd
Dallas, GA 30157-8297

1550 Kennesaw Due W Rd NW
Kennesaw, GA 30152-4338

1838 Redmond Cir NW
Suite Bandc
Rome, GA 30165-1379
Phone (706) 750-0322

2450 Old Milton Pkwy
Alpharetta, GA 30009-2520

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

3980 Jiles Rd NW
Kennesaw, GA 30144-1109
Phone (678) 504-0100

4477 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-6720
Phone (770) 249-5620

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

780 Church St NE
Marietta, GA 30060-7269

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN215580GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Ways Holdings LLC CurrentSince Oct 14, 2022 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Apr 9, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Rome Ways Holdings LLC CurrentSince Oct 14, 2022 Accepting new patients
Doan Global LLC CurrentSince Jun 25, 2023 Accepting new patients
The Southeast Permanente Medical Group Nurse Practitioner CurrentSince Oct 31, 2025 Accepting new patients
Joint Regeneration of Dalton Nurse Practitioner CurrentSince Jul 19, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1349 Druid Park Ave
Augusta, GA 30904
Phone (706) 733-7537

100 W Walnut Ave
Ste 116
Dalton, GA 30720
Phone (706) 493-5446

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1838 Redmond Cir NW
Ste Bc
Rome, GA 30165
Phone (706) 750-0322

1838 Redmond Cir NW
Ste B
Rome, GA 30165

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1063016590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651625",
            "telephone_number": "762-235-1470",
            "fax_number": "706-238-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "THUC",
        "middle_name": "NGUYEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN215580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.