Individual provider Active NPI

Tuan Minh Quoc Nguyen, M.D.

  • Internal Medicine Physician
  • Norcross, GA
National Provider Identifier
1386756955
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
041470 Issued in GA
Practice address
4720 Peachtree Industrial Blvd
Suite 202
Norcross, GA 30071-5735
Phone
(770) 454-9047
Fax
(770) 457-6311
NPI assigned
Aug 31, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 041470 GA Primary

Addresses

Primary practice location

4720 Peachtree Industrial Blvd
Suite 202
Norcross, GA 30071-5735

Mailing address

4720 Peachtree Industrial Blvd
Suite 202
Norcross, GA 30071-5735
Phone (770) 454-9047

Other identifiers 1

IdentifierTypeStateIssuer
00747832AMedicaidGA

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
I20080624000390 GA Practitioner - Internal Medicine 4183795842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4720 Peachtree Industrial Blvd
Suite 202a
Berkeley Lake, GA 30071-5736
Phone (770) 454-9047

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
041470GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan Minh-Quoc Nguyen, LLC CurrentSince Apr 30, 2003 Accepting new patients
Sandy Springs Center for Nursing and Healing LLC Past Accepting new patients
Dunwoody Health Center by Harborview, LLC Past Accepting new patients

Locations

4720 Peachtree Industrial Blvd
Ste 202A
Berkeley Lake, GA 30071
Phone (770) 454-9047

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1386756955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 202",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300715735",
            "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 202",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300715735",
            "telephone_number": "770-454-9047",
            "fax_number": "770-457-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "middle_name": "MINH QUOC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747832A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.