Individual provider Active NPI

Tan Nguyen, FNP

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1740704790
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223312 Issued in GA
Practice address
631 Professional Drive
Suite 170
Lawrenceville, GA 30046
Phone
(678) 312-2663
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 RN223312 GA Primary

Addresses

Primary practice location

631 Professional Drive
Suite 170
Lawrenceville, GA 30046

Mailing address

631 Professional Dr Ste 170
Lawrenceville, GA 30046-3392
Phone (678) 312-2663

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605001653 GA Practitioner - Nurse Practitioner 4486919891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

Northside Hospital Managed Care Dept
905 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN223312GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Jul 16, 2025 Accepting new patients
Truecare Medical LLC CurrentSince Oct 22, 2025 Accepting new patients
Orthoatlanta, LLC CurrentSince Jul 1, 2018 Accepting new patients
Orthoatlanta, LLC Current Accepting new patients
Piedmont Orthopedics, LLC CurrentSince Oct 1, 2019 Accepting new patients
Orthoatlanta, LLC CurrentSince Jul 1, 2018 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients
Orthoatlanta, LLC Past Accepting new patients

Locations

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261

631 Professional Dr
Ste 170
Lawrenceville, GA 30046
Phone (678) 312-2663

771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757

771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757

625 Beaver Ruin Rd NW
Ste E
Lilburn, GA 30047
Phone (678) 369-9399

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

302 Satellite Blvd NE
Ste 109110
Suwanee, GA 30024
Phone (678) 369-9399

302 Satellite Blvd NE
Ste 109
Suwanee, GA 30024
Phone (678) 731-7141

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1740704790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 170",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463392",
            "telephone_number": "678-312-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DRIVE",
            "address_2": "SUITE 170",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "678-312-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.