Individual provider Active NPI

Vincent CHI Nguyen, DNP

  • Family Nurse Practitioner
  • Chamblee, GA
National Provider Identifier
1407204266
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP288457 Issued in GA
Practice address
4897 Buford Hwy Ste 167
Chamblee, GA 30341-3670
Phone
(770) 872-8141
Fax
(770) 872-8142
NPI assigned
Jun 1, 2016
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 NP288457 GA Primary

Addresses

Primary practice location

4897 Buford Hwy Ste 167
Chamblee, GA 30341-3670

Mailing address

4897 Buford Hwy Ste 167
Chamblee, GA 30341-3670
Phone (770) 872-8141

Other practice location 1

1630 Pleasant Hill Rd Ste 120
Duluth, GA 30096-5899
Phone (770) 872-8141

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
I20210927002463 GA Practitioner - Nurse Practitioner 5193003176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4897 Buford Hwy
Suite 167
Chamblee, GA 30341-3670
Phone (770) 536-4996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP288457GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elina Healthcare Inc CurrentSince Oct 1, 2021 Accepting new patients
SK Drews, Inc CurrentSince Feb 23, 2020 Accepting new patients
Chamblee Family Medical Clinic LLC Family CurrentSince Mar 1, 2023 Accepting new patients

Locations

4897 Buford Hwy
Ste 167
Chamblee, GA 30341
Phone (770) 452-5642

1630 Pleasant Hill Rd
Ste 120
Duluth, GA 30096
Phone (678) 578-7915

3496 Club Dr
Lawrenceville, GA 30044
Phone (770) 248-9345

4775 Jimmy Carter Blvd
Ste 201
Norcross, GA 30093
Phone (470) 275-4911

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1407204266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY STE 167",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413670",
            "telephone_number": "770-872-8141",
            "fax_number": "770-872-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY STE 167",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413670",
            "telephone_number": "770-872-8141",
            "fax_number": "770-872-8142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Pleasant Hill Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965899",
            "country_code": "US",
            "telephone_number": "770-872-8141",
            "fax_number": "770-872-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VINCENT",
        "middle_name": "CHI",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP288457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

Verify at the official NPI Registry.