Individual provider Active NPI

Ngoc-Mai Nguyen, FNP-C

  • Family Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1205628260
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN232428 Issued in GA
Practice address
822 S Hill St
Griffin, GA 30224-4842
Phone
(770) 228-1181
Fax
(770) 228-1182
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN232428 GA Primary

Addresses

Primary practice location

822 S Hill St
Griffin, GA 30224-4842

Mailing address

822 S Hill St
Griffin, GA 30224-4842
Phone (770) 228-1181

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
I20250523002034 GA Practitioner - Nurse Practitioner 4082133848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince May 20, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince May 20, 2025 Accepting new patients

Locations

822 S Hill St
Griffin, GA 30224
Phone (770) 228-1181

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Organizations & group practices 2

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1205628260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S HILL ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244842",
            "telephone_number": "770-228-1181",
            "fax_number": "770-228-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S HILL ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244842",
            "telephone_number": "770-228-1181",
            "fax_number": "770-228-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGOC-MAI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN232428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.