Individual provider Active NPI

Jennifer Nguyen Le, PA-C

  • Physician Assistant
  • Buford, GA
National Provider Identifier
1750096103
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11342 Issued in GA
Practice address
2690 Hamilton Mill Rd Ste 100
Buford, GA 30519-4193
Phone
(470) 326-7300
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 11342 GA Primary

Addresses

Primary practice location

2690 Hamilton Mill Rd Ste 100
Buford, GA 30519-4193

Mailing address

1204 Noble Vines Dr Apt 1204
Buford, GA 30519-6112
Phone (404) 518-5064

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
I20230215002365 GA Practitioner - Physician Assistant 6103298328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Choice Urgent Care, LLCGroup PAC ID 1951690213, 19 clinicians
Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

2690 Hamilton Mill Rd
Suite 100
Buford, GA 30519-4193
Phone (470) 326-7300

4215 Pleasant Hill Rd
Duluth, GA 30096-6332
Phone (470) 451-0655

5910 Suwanee Dam Rd
Suite 100
Sugar Hill, GA 30518-5648
Phone (470) 326-7600

7386 Friendship Springs Blvd
Suite J
Flowery Branch, GA 30542-5548
Phone (470) 451-0646

81 Northside Dawson Dr
Suite 100a
Dawsonville, GA 30534-7166
Phone (706) 216-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Choice Urgent Care, LLC CurrentSince Jan 27, 2023 Accepting new patients

Locations

2690 Hamilton Mill Rd
Ste 100
Buford, GA 30519
Phone (470) 326-7300

4215 Pleasant Hill Rd
Duluth, GA 30096
Phone (470) 451-0655

7386 Friendship Springs Blvd
Ste J
Flowery Branch, GA 30542
Phone (470) 451-0646

665 Duluth Hwy
Ste B
Lawrenceville, GA 30046
Phone (470) 451-0650

2745 Loganville Hwy
Loganville, GA 30052
Phone (470) 655-2364

2316 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (470) 450-0644

5910 Suwanee Dam Rd
#100
Sugar Hill, GA 30518
Phone (470) 326-7600

Organizations & group practices 3

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": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1750096103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 NOBLE VINES DR APT 1204",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196112",
            "telephone_number": "404-518-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 HAMILTON MILL RD STE 100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194193",
            "telephone_number": "470-326-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JENNIFER",
        "middle_name": "NGUYEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.