Individual provider Active NPI

Justin Hien Minh Nguyen, DO

  • Pediatrics Physician
  • Augusta, GA
National Provider Identifier
1982336004
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14168 Issued in GA
Practice address
1446 Harper St
Augusta, GA 30912-0012
Phone
(706) 721-9442
NPI assigned
Jun 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14168 GA Primary

Addresses

Primary practice location

1446 Harper St
Augusta, GA 30912-0012

Mailing address

1407 Woodhill TRL
Augusta, GA 30909-2662
Phone (571) 340-0507

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnguyen10@augusta.edu Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331003728 GA Practitioner - Pediatric Medicine 3375923071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1407 Woodhill TRL
Augusta, GA 30909-2662

1446 Harper St
Augusta, GA 30912-0012

PO Box
Suite 670747
Marietta, GA 30066

PO Box
Suite 670747
Marietta, GA 30066-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Center, Inc Past Accepting new patients
Aiken Regional Medical Centers LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1982336004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 WOODHILL TRL",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092662",
            "telephone_number": "571-340-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HARPER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120012",
            "telephone_number": "706-721-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JUSTIN",
        "middle_name": "HIEN MINH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "14168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnguyen10@augusta.edu",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1446 Harper St",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309120012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.