Viengngeun Bounkeua, M.D., PH.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Dawsonville, GA
NPI 1831482470 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1831482470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 73477 (GA)
- Practice address
- 300 Dawson Commons Cir Ste 310
Dawsonville, GA 30534-6268 - Phone
- (706) 216-2345
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of California, San Diego School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Inc
Practice addresses (Care Compare)
1298 S Chestatee
Dahlonega, GA 30533-5530
Phone (706) 864-3400
1315 Jesse Jewell Pkwy NE
Gainesville, GA 30501-3822
3641 Thompson Bridge Rd
Gainesville, GA 30506-1515
Phone (770) 219-9460
495 Hwy 400
Dahlonega, GA 30533-6823
Phone (706) 867-4110
597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501-3715
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Lumpkin
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716002308 | GA | Practitioner - Obstetrics/Gynecology | 8224274436 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73477 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Current |
Accepting new patients | |
| Crown Mountain Women'S Health | Past | Accepting new patients | |
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients |
Locations
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Interoperability endpoints
- vbounkeua29474@nghs.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 73477 | GA | Yes |
Addresses
Primary practice location
300 Dawson Commons Cir Ste 310
Dawsonville, GA 30534-6268
Mailing address
300 Dawson Commons Cir Ste 310
Dawsonville, GA 30534-6268
Phone (706) 216-2345
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vbounkeua29474@nghs.gadirect.net | Direct |
Other providers in Dawsonville, GA
- Gary C Berliner
- Blue Ridge Counseling, LLC
- BMH Dentistry, P.C
- BMH Dentistry, PC
- Peggy Webb Booher
- Ashley Benjamin Bridges
- Rachel Baker Bright
- Brittany Lynn Brooks
- Keyle Clemons Brown
- Amy Cagle Bruce
All providers in Dawsonville, GA · Obstetrics & Gynecology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.