Individual provider Active NPI

Suong Thu Nguyen, MD

  • Pediatric Infectious Diseases Physician
  • Atlanta, GA
National Provider Identifier
1992155113
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
99127 Issued in GA
Practice address
2015 Uppergate Dr NE RM 564
Atlanta, GA 30322-1014
Phone
(404) 785-5437
Fax
(404) 785-9098
NPI assigned
Jun 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2019023007 MO
Pediatric Infectious Diseases Physician 2080P0208X 2019023007 MO
Pediatric Infectious Diseases Physician 2080P0208X 99127 GA Primary

Addresses

Primary practice location

2015 Uppergate Dr NE RM 564
Atlanta, GA 30322-1014

Mailing address

2015 Uppergate Dr NE RM 564
Atlanta, GA 30322-1014
Phone (404) 785-5437

Other identifiers 1

IdentifierTypeStateIssuer
200062115MedicaidMO

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
I20240725002287 GA Practitioner - Infectious Disease 1052791050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choa Multispecialty, LLCGroup PAC ID 7719126820, 35 clinicians

Practice addresses (Care Compare)

2174 N Druid Hills Rd NE
Atlanta, GA 30329-3102
Phone (404) 785-5437

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Pediatrics CurrentSince Jul 2, 2024 Accepting new patients
Egleston Pediatric Group Pediatrics Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 2, 2024 Accepting new patients
Choa Hospital Based, LLC Pediatrics Current Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Choa Multispecialty, LLC Pediatrics CurrentSince May 13, 2024 Accepting new patients
Arthur M. Blank Hospital, Inc. Past Accepting new patients

Locations

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

2015 Upper Gate Dr NE
Rm 564
Atlanta, GA 30322

2015 Upper Gate Dr NE
Atlanta, GA 30322
Phone (404) 778-2400

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2174 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 785-7856

Interoperability endpoints

  • Direct secure messaging: snguyen1011541@direct.emory.org

Organizations & group practices 7

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": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1992155113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 UPPERGATE DR NE RM 564",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221014",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 UPPERGATE DR NE RM 564",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221014",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SUONG",
        "middle_name": "THU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-18",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2019023007",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MO",
            "license": "2019023007",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "GA",
            "license": "99127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062115",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.