Individual provider Active NPI

Cuong Tan Doan, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1710052337
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-01854 Issued in NC
Practice address
7845 Little Ave
Charlotte, NC 28226-8198
Phone
(704) 375-0100
Fax
(704) 887-6450
NPI assigned
Nov 21, 2006
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006-01854 NC Primary

Addresses

Primary practice location

7845 Little Ave
Charlotte, NC 28226-8198

Mailing address

1520 Lyon CT
Charlotte, NC 28205-5320
Phone (704) 567-8218

Other practice location 1

1520 Lyon CT
Charlotte, NC 28205-5320
Phone (704) 567-8218

Other identifiers 3

IdentifierTypeStateIssuer
5906670MedicaidNC
1710052337MedicaidNC
NC1608MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20100217000852 NC Practitioner - Family PracticePractitioner - Hospitalist 2961442595 Reassigns benefits to 2 organizations
I20250919001840 GA Practitioner - Family Practice 2961442595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

3445 Peachtree Rd NE
Suite 1200
Atlanta, GA 30326-3251
Phone (678) 553-4603

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Wilkes Physician Network, Inc. Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 1, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Qcpi-Villagemd, PC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jun 27, 2020 Accepting new patients
Cuong Tan Doan Family Medicine PastSince May 30, 2007 Accepting new patients
Chesterfield Family Practice Center, PC Family Medicine Past Accepting new patients
Bernice Hoanglan Doan Past Accepting new patients

Locations

3445 Peachtree Rd NE
Ste 1200
Atlanta, GA 30326
Phone (404) 407-1664

181 S Clayton St
Lawrenceville, GA 30046
Phone (770) 962-0912

1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4128 Monroe Rd
Charlotte, NC 28205
Phone (704) 337-0133

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

Interoperability endpoints

  • Direct secure messaging: cuong.doan.1@21533.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1710052337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LYON CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055320",
            "telephone_number": "704-567-8218",
            "fax_number": "704-567-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100",
            "fax_number": "704-887-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 LYON CT",
            "address_purpose": "LOCATION",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055320",
            "country_code": "US",
            "telephone_number": "704-567-8218",
            "fax_number": "704-567-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "CUONG",
        "middle_name": "TAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906670",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710052337",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1608",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.