Phuong Uyen Bao Nguyen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

12589 Issued in GA

Practice address

625 Beaver Ruin Rd NW Ste E
Lilburn, GA 30047-3407

Phone

(678) 369-9399

NPI assigned

Oct 4, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: phuong.uyen.nguyen.1@27557.direct.athenahealth.com

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.

• Truecare Medical LLC

  • Internal Medicine Physician
  • Lilburn, GA
  • NPI 1528731205
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1922827278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BEAVER RUIN RD NW STE E",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473407",
            "telephone_number": "678-369-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BEAVER RUIN RD NW STE E",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473407",
            "telephone_number": "678-369-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Satellite Blvd NE Ste 109-110",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300247181",
            "country_code": "US",
            "telephone_number": "678-369-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG UYEN",
        "middle_name": "BAO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Step Wellness LLC
• Nathalie Careme Nguedia, RPH
• Cecilia Nguyen
• Le Phuong Nguyen
• Oanh Hoang Nguyen, LPN
• Sakari Veda-Jean Nichols, LMT
• Karen Bomar Nickerson, OTR/L
• Heather-Leigh Owens Nies, MSW, LCSW, LMSW
• Andrea Nihei, REGISTERED BEHAVIOR
• Farhad Nikounejad

• Medical Physician Assistant in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.