Individual provider Active NPI

Vannie Daracan Nguyen, NP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1619625746
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP004903 Issued in GA
Practice address
7301 Blackmon Rd
Columbus, GA 31909-4478
Phone
(706) 383-0910
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 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 GAA-NP004903 GA Primary

Addresses

Primary practice location

7301 Blackmon Rd
Columbus, GA 31909-4478

Mailing address

14318 W Burton St
Wichita, KS 67235-9160
Phone (620) 314-9324

Other names 1

  • Vannie D Victorino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, TN, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230418002724 KS Practitioner - Nurse Practitioner 8022483353 Reassigns benefits to 2 organizations
I20230921004008 TN Practitioner - Nurse Practitioner 8022483353 Reassigns benefits to 2 organizations
I20260521000571 GA Practitioner - Nurse Practitioner 8022483353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1466 Tiny Town Rd
Suite C
Clarksville, TN 37042-8294
Phone (931) 503-7093

1524 Lafayette Pkwy
Lagrange, GA 30241-2566
Phone (706) 530-2151

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416
Phone (770) 502-2121

1825 Hwy 34 E 1200
Newnan, GA 30265-6416

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

7301 Blackmon Rd
Columbus, GA 31909-4478
Phone (706) 383-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAA-NP004903GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Kansas LLC CurrentSince May 8, 2023 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Sep 12, 2023 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Sep 12, 2023 Accepting new patients
Emergent Care Plus of Overland Park, LLC CurrentSince Jan 31, 2023 Accepting new patients
Emergent Care Plus, LLC Past Accepting new patients

Locations

1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945

1466 Tiny Town Rd
Ste C
Clarksville, TN 37042
Phone (931) 503-7093

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1619625746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14318 W BURTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359160",
            "telephone_number": "620-314-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 BLACKMON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094478",
            "telephone_number": "706-383-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VANNIE",
        "middle_name": "DARACAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANNIE",
            "last_name": "VICTORINO",
            "middle_name": "D",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.