Active NPI
Anh Ngoc Nguyen, NURSE PRACTITIONER
- Nurse Practitioner
- Cartersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN219622
- Practice address
- 78 Opal St
Cartersville, GA 30120-2848 - Phone
- (770) 382-6120
- NPI assigned
- Aug 2, 2019
- Last updated
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN219622 | GA | Primary |
Addresses
Primary practice location
78 Opal St
Cartersville, GA 30120-2848
Mailing address
13 Starlight Dr NW Ste C
Cartersville, GA 30121-9263
Phone (706) 331-6972
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2850 Springdale Rd SW
Atlanta, GA 30315-7802
Phone (212) 734-6621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Wound Care of Georgia LLC | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Regenerative Wound Solutions PC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients |
Locations
2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100
5131 Warm Springs Rd
Columbus, GA 31909
Phone (706) 561-1371
2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
L2540
Columbus, OH 43260
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Columbus, GA
- NPI 1245907971
-
dba Heartland Care Partners
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
GA
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1902451404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 STARLIGHT DR NW STE C",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301219263",
"telephone_number": "706-331-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 OPAL ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202848",
"telephone_number": "770-382-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANH",
"middle_name": "NGOC",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN219622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
- New Hope Living Centre Dba the Fite Living Centre
- New Life Health Center
- Newbridge NW Psychology Associates
- Joseph Paul Newell, M.D.
- Silvie Ngonkane, LPN
- Kevin Huy Nguyen, DO
- Thoai Hong Nguyen, D.C.
- Christina Nix, FNP
- North Ga Podiatric Medicine and Surgery
- North Paulding Speech Language Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.