Xavier Anh Nguyen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

044973 Issued in GA

Practice address

4897 Buford Hwy
Suite 167
Chamblee, GA 30341-3667

Phone

(770) 458-8377

Fax

(770) 458-8746

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255474409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY",
            "address_2": "SUITE 167",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413667",
            "telephone_number": "770-458-8377",
            "fax_number": "770-458-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY",
            "address_2": "SUITE 167",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413667",
            "telephone_number": "770-458-8377",
            "fax_number": "770-458-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "XAVIER",
        "middle_name": "ANH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00808112A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GEORGIA",
            "identifier": "304161",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binh K Nguyen, B.S.D.C
• Linh Nguyen, DDS
• Pat Nguyen, DDS
• Thang Quoc Nguyen, DDS
• Vincent CHI Nguyen, DNP
• North Atlanta Surgical Associates
• Nsp1Re
• Jennifer Nicole Nuetzel, FNP-C
• Nurturecare Doula Services
• Kayla O'Connor, DPT

• Family Medicine Physician in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.