Active NPI
Xuan Cao, M.D.
- Obstetrics & Gynecology Physician
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 067114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067114 | Other | GA | MEDICAL 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
Enrollment records 1
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
- Northside Hospital Gwinnett
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067114 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Care OB/GYN LLC | Current | 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.
-
- Specialist
- Duluth, GA
- NPI 1043654130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.