Active NPI
Jonathan Nguyen
- Plastic Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 82571
- Practice address
- 550 Peachtree Street, SE
8TH Floor, Suite 4300
Atlanta, GA 30308 - Phone
- (404) 686-8143
- NPI assigned
- Apr 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Plastic Surgery Physician | 208200000X | 82571 | GA | Primary |
Addresses
Primary practice location
550 Peachtree Street, SE
8TH Floor, Suite 4300
Atlanta, GA 30308
Mailing address
550 Peachtree Street, SE
8TH Floor, Suite 4300
Atlanta, GA 30308
Phone (404) 686-8143
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 Johnson Ferry Nerd
Suite 100
Atlanta, GA 30342-1618
Phone (404) 256-1311
Hospital & facility affiliations
- Northside Hospital
- Northside Hospital Cherokee
- Northside Hospital Forsyth
- Wellstar Kennestone Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 56 |
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82571 | GA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Plastic Surgery PC | Plastic Surgery | Current | Accepting new patients |
| Northside Surgical Professional Services LLC | Current | Accepting new patients |
Locations
460 Northside Cherokee Blvd
Ste 430
Canton, GA 30115
Phone (678) 493-2527
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
975 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 256-1311
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
975 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 255-8086
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 and National Provider Directory roles.
-
- Plastic Surgery Physician
- Atlanta, GA
- NPI 1134104680
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1558716225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE STREET, SE",
"address_2": "8TH FLOOR, SUITE 4300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30308",
"telephone_number": "404-686-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE STREET, SE",
"address_2": "8TH FLOOR, SUITE 4300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30308",
"telephone_number": "404-686-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-29",
"last_updated": "2021-09-28",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "82571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.