Active NPI
Bao Tram Thi Nguyen, D.O.
- Obstetrics & Gynecology Physician
- Norcross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 89158
- Practice address
- 4130 Steve Reynolds Blvd
Norcross, GA 30093-3059 - Phone
- (770) 589-1819
- Fax
- (678) 298-7492
- NPI assigned
- Jul 31, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 02004760A | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | 89158 | GA | Primary |
Addresses
Primary practice location
4130 Steve Reynolds Blvd
Norcross, GA 30093-3059
Mailing address
1701 Stoney Chase Dr
Lawrenceville, GA 30044-2896
Phone (678) 617-4033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Franciscan Way
Suite 300
Michigan City, IN 46360-0033
Phone (219) 877-1880
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000
Hospital & facility affiliations
- Piedmont Eastside Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89158 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Obhg Georgia, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Franciscan Physician Network | Current | Accepting new patients | |
| Caring Women'S OBGYN LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Eastside Medical Center, LLC | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Athens, GA
- NPI 1750686838
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Obstetrics & Gynecology Physician
- Norcross, GA
- NPI 1720907066
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1922416080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 STONEY CHASE DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300442896",
"telephone_number": "678-617-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 STEVE REYNOLDS BLVD",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933059",
"telephone_number": "770-589-1819",
"fax_number": "678-298-7492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BAO TRAM",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "02004760A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "89158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.