Individual provider Active NPI

Vien Xuan Nguyen, MD

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1477654358
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58111 Issued in GA
Practice address
4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860
Phone
(678) 490-8300
Fax
(415) 252-7176
NPI assigned
Sep 26, 2006
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 58111 GA Primary

Addresses

Primary practice location

4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860

Mailing address

1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061107000086 GA Practitioner - Internal Medicine 4880691724 Reassigns benefits to 2 organizations
I20090304000254 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 4880691724 Reassigns benefits to 2 organizations
I20250106000407 TX Practitioner - Internal Medicine 4880691724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Health Georgia PCGroup PAC ID 1850644394, 27 clinicians

Practice addresses (Care Compare)

4850 Sugarloaf Pkwy
Suite 101
Lawrenceville, GA 30044-2860
Phone (678) 490-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58111GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
Hospitalist Medicine Healthcare LLC CurrentSince Apr 1, 2014 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 10, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Feb 24, 2009 Accepting new patients
Iora Senior Health, LLC Internal Medicine Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Feb 24, 2009 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Aug 11, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine CurrentSince Oct 10, 2024 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Aug 11, 2025 Accepting new patients
Iora Health Georgia, P.C. Internal Medicine Current Accepting new patients
Iora Health Georgia, P.C. Internal Medicine CurrentSince Aug 11, 2025 Accepting new patients
Vishal Chaurasia MD PC Internal Medicine Past Accepting new patients
Kingman Healthcare, Inc Internal Medicine Past Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

3527 Memorial Dr
Unit W
Decatur, GA 30032
Phone (404) 573-4844

4850 Sugarloaf Pkwy
Ste 101
Lawrenceville, GA 30044
Phone (678) 490-8300

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1477654358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR FL 19",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442860",
            "telephone_number": "678-490-8300",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIEN",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "58111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.