Tuan Minh-Quoc Nguyen, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

041470 Issued in GA

Legal business name

TUAN MINH-QUOC NGUYEN, LLC

Practice address

4720 Peachtree Industrial Blvd
Suite 202a
Norcross, GA 30071-1547

Phone

(770) 454-9047

Fax

(770) 457-6311

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Maggie Chang

Title

Office Manager

Phone

(770) 454-9047

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tuan Minh Quoc Nguyen, M.D.

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1386756955
  Medicare reassignment NPD

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1215196522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 202A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711547",
            "telephone_number": "770-454-9047",
            "fax_number": "770-457-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 202A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711547",
            "telephone_number": "770-454-9047",
            "fax_number": "770-457-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN MINH-QUOC NGUYEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-454-9047"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "041470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "303268",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BETTER HEALTH CARE",
            "identifier": "85002012G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747832A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10033241",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE",
            "identifier": "000747832A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew D Turner, PH.D
• Shannon Turner

• Specialist in Norcross, GA
• Providers in Norcross, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.