Son Thanh Nguyen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

059834 Issued in GA

Practice address

1233 Shoreham Dr
College Park, GA 30349-5845

Phone

(770) 313-7229

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, CA2 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 2

Specialty

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: son.nguyen.1@17167.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17167/brand/1/csg/1/fhir/r4

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.

• Pelican Hill Medical Center, LLC

  • Urgent Care Clinic/Center
  • Lilburn, GA
  • NPI 1841710415
  Medicare reassignment NPD Authorized official
• Reddy Urgent Care - Royston LLC

  dba Royston Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Royston, GA
  • NPI 1093847444
  NPD (past)
• Stone Mountain Skin Health Center

  • Primary Care Clinic/Center
  • Norcross, GA
  • NPI 1770995946
  NPD (past)
• The Baxley and Appling County Hospital Authority

  dba Appling Medical Group

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1639379746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FRANKLIN SPRINGS ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624134",
            "telephone_number": "770-313-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHOREHAM DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495845",
            "telephone_number": "770-313-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Wellness LLC
• New Domus Personal Care, LLC
• New Era Medical Equipment and Supplies
• Andrew James Newsome, DDS, PC, MAGD
• Nextgen EMS LLC
• Nky Housing and Homecare Services LLC
• NNK Consulting LLC
• Noela Inc
• Susan Elizabeth Northrup, M.D., M.P.H
• Nova OBGYN, PC

• Family Medicine Physician in College Park, GA
• Providers in College Park, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.

Verify at the official NPI Registry.