Individual provider Active NPI

Trang Khanh Nguyen, NP-C

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1750989810
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN246685 Issued in GA
Practice address
2258 Wrightsboro Rd
Augusta, GA 30904-4887
Phone
(706) 724-4400
Fax
(706) 724-6003
NPI assigned
Oct 12, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 RN246685 GA Primary

Addresses

Primary practice location

2258 Wrightsboro Rd
Augusta, GA 30904-4887

Mailing address

PO Box 925
Augusta, GA 30903-0925
Phone (706) 854-6008

Other practice location 1

1350 Walton Way
Augusta, GA 30901-2629
Phone (706) 722-9011

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
I20201123003230 GA Practitioner - Nurse Practitioner 8628489614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

95 Collier NWRD
Atlanta, GA 30309-1796
Phone (404) 605-5000

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN246685GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Dec 9, 2023 Accepting new patients
University Cardiology Associates LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

95 Collier Rd NW
Atlanta, GA 30309
Phone (404) 355-3200

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2258 Wrightsboro Rd
Ste 400
Augusta, GA 30904
Phone (706) 724-4400

818 Saint Sebastian Way
Ste 308
Augusta, GA 30901
Phone (706) 724-4400

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

2500 University Dr
Thomson, GA 30824
Phone (706) 595-1186

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1750989810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030925",
            "telephone_number": "706-854-6008",
            "fax_number": "706-854-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044887",
            "telephone_number": "706-724-4400",
            "fax_number": "706-724-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012629",
            "country_code": "US",
            "telephone_number": "706-722-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRANG",
        "middle_name": "KHANH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN246685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.