Individual provider Active NPI

Thang Nguyen, D.O.

  • Family Medicine Physician
  • Norcross, GA
National Provider Identifier
1144294505
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58289 Issued in GA
Practice address
3985 Steve Reynolds Blvd
Suite K-102
Norcross, GA 30093-3035
Phone
(678) 367-0390
Fax
(678) 245-3391
NPI assigned
Feb 14, 2006
Last updated
Aug 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58289 GA Primary

Addresses

Primary practice location

3985 Steve Reynolds Blvd
Suite K-102
Norcross, GA 30093-3035

Mailing address

3985 Steve Reynolds Blvd
Suite K-102
Norcross, GA 30093-3035
Phone (678) 367-0390

Other names 1

  • Tom Nguyen Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912002370 GA Practitioner - Family Practice 3577948595 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58289GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elina Healthcare Inc Family Medicine CurrentSince Feb 15, 2025 Accepting new patients
St John Oakland Hospital Past Accepting new patients

Locations

4775 Jimmy Carter Blvd
Ste 201
Norcross, GA 30093
Phone (470) 275-4911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1144294505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD",
            "address_2": "SUITE K-102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933035",
            "telephone_number": "678-367-0390",
            "fax_number": "678-245-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD",
            "address_2": "SUITE K-102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933035",
            "telephone_number": "678-367-0390",
            "fax_number": "678-245-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "58289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "NGUYEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.