Individual provider Active NPI

Sophia Thuy VI Le

  • Family Nurse Practitioner
  • Stone Mountain, GA
National Provider Identifier
1447945167
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN279397 Issued in GA
Practice address
1192 Rockbridge Rd Ste a
Stone Mountain, GA 30087-2923
Phone
(770) 925-2010
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 RN279397 GA Primary

Addresses

Primary practice location

1192 Rockbridge Rd Ste a
Stone Mountain, GA 30087-2923

Mailing address

704 Zoysia LN
Lawrenceville, GA 30046-6061
Phone (404) 451-0205

Other names 1

  • Sophia Thuy VI Brune-Herrera Le Former name

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
I20230921000408 GA Practitioner - Nurse Practitioner 4486008752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. B Abraham PCGroup PAC ID 4981693314, 7 clinicians

Practice addresses (Care Compare)

3020 Hwy 124
Snellville, GA 30039-4614
Phone (770) 978-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN279397GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Aug 1, 2023 Accepting new patients
Dr. B Abraham PC CurrentSince May 30, 2024 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

696 Highway 20 S
Lawrenceville, GA 30046
Phone (770) 963-0927

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

3020 Scenic Hwy S
Snellville, GA 30039
Phone (770) 978-1331

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": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1447945167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ZOYSIA LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466061",
            "telephone_number": "404-451-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 ROCKBRIDGE RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872923",
            "telephone_number": "770-925-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "SOPHIA",
        "middle_name": "THUY VI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN279397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "BRUNE-HERRERA LE",
            "middle_name": "THUY VI",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.