Active NPI
Suong Thu Nguyen, MD
- Pediatric Infectious Diseases Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 99127
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200062115 | Medicaid | MO |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Pediatrics | Current | Accepting new patients |
| Egleston Pediatric Group | Pediatrics | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | 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 | Current | 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
- 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.
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-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1811041452
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Pediatrics Physician
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- NPI 1730345240
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
- 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.