Individual provider Active NPI

Steven Tuan Nguyen, M.D

  • Pain Medicine Physician
  • Norcross, GA
National Provider Identifier
1679896104
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
065154 Issued in GA
Practice address
4775 Jimmy Carter Blvd Ste 102
Norcross, GA 30093-3752
Phone
(678) 451-1828
Fax
(678) 451-1829
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 249045 MA
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 065154 GA Primary

Addresses

Primary practice location

4775 Jimmy Carter Blvd Ste 102
Norcross, GA 30093-3752

Mailing address

4775 Jimmy Carter Blvd Ste 102
Norcross, GA 30093-3752
Phone (678) 451-1828

Other names 1

  • Tuan Thanh Nguyen Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023002379 GA Practitioner - AnesthesiologyPractitioner - Pain Management 4183899552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4775 Jimmy Carter Blvd
Norcross, GA 30093-3752
Phone (678) 451-1828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249045MAMDPain Medicine (Anesthesiology) Physician
065154GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc Single Specialty PastSince Aug 1, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBEICD/Endpoint/EBEICD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1679896104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 JIMMY CARTER BLVD STE 102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933752",
            "telephone_number": "678-451-1828",
            "fax_number": "678-451-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 JIMMY CARTER BLVD STE 102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933752",
            "telephone_number": "678-451-1828",
            "fax_number": "678-451-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "STEVEN",
        "middle_name": "TUAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "249045",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "065154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUAN",
            "last_name": "NGUYEN",
            "middle_name": "THANH",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.