Active NPI
Jeanie Nguyen, NP
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1194436717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 290029
- Practice address
- 3200 Cobb Galleria Pkwy Ste 205
Atlanta, GA 30339-5919 - Phone
- (678) 888-3223
- NPI assigned
- Dec 6, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29987 | SC | |
| Nurse Practitioner | 363L00000X | 11041036 | FL | |
| Nurse Practitioner | 363L00000X | 1197270 | TX | |
| Registered Nurse | 163W00000X | RN290029 | GA | |
| Nurse Practitioner | 363L00000X | 290029 | GA | Primary |
Addresses
Primary practice location
3200 Cobb Galleria Pkwy Ste 205
Atlanta, GA 30339-5919
Mailing address
3200 Cobb Galleria Pkwy Ste 205
Atlanta, GA 30339-5919
Phone (678) 888-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN290029 | GA | MD | Registered Nurse |
| 290029 | GA | MD | Nurse Practitioner |
| 29987 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1194436717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 COBB GALLERIA PKWY STE 205",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395919",
"telephone_number": "678-888-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 COBB GALLERIA PKWY STE 205",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395919",
"telephone_number": "678-888-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JEANIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "29987",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11041036",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1197270",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN290029",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "290029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.