Individual provider Active NPI

Nguyen Phuc Dang, CRNA

  • Certified Registered Nurse Anesthetist
  • Decatur, GA
National Provider Identifier
1497298749
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
112937 Issued in GA
Practice address
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone
(404) 501-1000
NPI assigned
Nov 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 112937 GA Primary
Registered Nurse 163W00000X 7225531 NY

Addresses

Primary practice location

2701 N Decatur Rd
Decatur, GA 30033-5918

Mailing address

251 Southfield CT
Bonaire, GA 31005-3538
Phone (678) 622-7512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000022 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688957863 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577

Hospital & facility affiliations

  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
7225531NYMDRegistered Nurse
112937GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Feb 1, 2021 Accepting new patients
Perimeter Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2022 Accepting new patients
Anesthesia Solutions of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
CSP Anesthesia LLC CurrentSince Feb 14, 2022 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Jun 26, 2023 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jun 16, 2022 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Oct 14, 2023 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

619 S 8th St
Ste 300
Griffin, GA 30224

939 Bob Arnold Blvd
Ste G
Lithia Springs, GA 30122
Phone (470) 827-3648

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

5505 Roswell Rd
Ste 350
Sandy Springs, GA 30342
Phone (470) 827-3648

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

165 N Park Trl
Ste 100
Stockbridge, GA 30281
Phone (770) 506-1800

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1497298749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SOUTHFIELD CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053538",
            "telephone_number": "678-622-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "NGUYEN",
        "middle_name": "PHUC",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-18",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "112937",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "7225531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.