Individual provider Active NPI

Xuan Cao, M.D.

  • Obstetrics & Gynecology Physician
  • Duluth, GA
National Provider Identifier
1780856740
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
067114 Issued in GA
Practice address
3635 Peachtree Industrial Blvd Ste 150
Duluth, GA 30096-2808
Phone
(770) 495-4935
Fax
(866) 539-7036
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 067114 GA Primary

Addresses

Primary practice location

3635 Peachtree Industrial Blvd Ste 150
Duluth, GA 30096-2808

Mailing address

3635 Peachtree Industrial Blvd Ste 150
Duluth, GA 30096-2808
Phone (770) 495-4935

Other identifiers 1

IdentifierTypeStateIssuer
067114OtherGAMEDICAL BOARD

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
I20120113000175 GA Practitioner - Obstetrics/Gynecology 2769659820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3635 Peachtree Industrial Blvd
Duluth, GA 30096-2806

3635 Peachtree Industrial Blvd
Suite 150
Duluth, GA 30096-2808
Phone (770) 495-4935

Hospital & facility affiliations

  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
067114GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Care OB/GYN LLC CurrentSince Apr 15, 2013 Accepting new patients

Locations

3635 Peachtree Industrial Blvd
Ste 150
Duluth, GA 30096
Phone (678) 474-1115

3635 Peachtree Industrial Blvd
Ste 550
Duluth, GA 30096
Phone (770) 246-6100

Organizations & group practices 1

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 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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1780856740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 PEACHTREE INDUSTRIAL BLVD STE 150",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962808",
            "telephone_number": "770-495-4935",
            "fax_number": "866-539-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 PEACHTREE INDUSTRIAL BLVD STE 150",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962808",
            "telephone_number": "770-495-4935",
            "fax_number": "866-539-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "XUAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "067114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "067114",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.