Individual provider Active NPI

Han Ngoc Bui, PAC

  • Physician Assistant
  • Augusta, GA
National Provider Identifier
1982587499
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13695 Issued in GA
Practice address
1482 Laney Walker Blvd
Augusta, GA 30912-0003
Phone
(706) 760-4152
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13695 GA Primary

Addresses

Primary practice location

1482 Laney Walker Blvd
Augusta, GA 30912-0003

Mailing address

1482 Laney Walker Blvd
Augusta, GA 30912-0003

Other practice location 1

150 N Park Trl Ste B
Stockbridge, GA 30281-7372
Phone (770) 507-0909

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316001662 GA Practitioner - Physician Assistant 4688157829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga Clinical Services, LLCGroup PAC ID 7719273838, 35 clinicians

Practice addresses (Care Compare)

150 N Park TRL
Suite B
Stockbridge, GA 30281-7372
Phone (855) 841-1337

218 Hospital Dr
Suite C
Blairsville, GA 30512-3143
Phone (855) 841-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Clinical Services, LLC CurrentSince Mar 3, 2026 Accepting new patients

Locations

150 N Park Trl
#B
Stockbridge, GA 30281
Phone (770) 507-0909

Organizations & group practices 2

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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1982587499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120003",
            "telephone_number": "706-760-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Park Trl Ste B",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817372",
            "country_code": "US",
            "telephone_number": "770-507-0909",
            "fax_number": "770-507-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "HAN",
        "middle_name": "NGOC",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.