PHUONGTAM NGUYEN MD
NPI 1053765057
Psychiatry & Neurology - Child & Adolescent Psychiatry in Villa Rica, GA

Active since April 16, 2016PECOS Enrolled
101 QUARTZ DR STE 103, VILLA RICA, GA 30180(770) 812-3530(770) 812-3531 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2021, May 26, 2020 (2 updates tracked since 2020).

About Phuongtam Nguyen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHUONGTAM NGUYEN MD (NPI 1053765057) is an individual child & adolescent psychiatry provider in Villa Rica, Georgia, licensed in Georgia (83914) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Howard University College Of Medicine (2016).

NPPES Registry Identity

NPI1053765057
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NamePHUONGTAM NGUYENCredential: MD
Location Address101 QUARTZ DR STE 103Villa Rica, GA 30180-3255
Mailing Address4037 Nw 86th TerGainesville, FL 32606-9277
Fax(770) 812-3531
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2016
Enumeration DateApril 16, 2016
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
NPI 1053765057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in GA · 83914
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

101 QUARTZ DR STE 103, Villa Rica, GA 30180

Secondary Practice Location 1

Location 14037 NW 86th TerGainesville, FL 32606-9277 · Phone (352) 265-4357

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Phuongtam Nguyen is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Phuongtam Nguyen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 244527851

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200708003328

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Psychiatry & Neurology (Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Counselor (Mental Health)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Psychiatry & Neurology (Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Counselor (Professional)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Psychiatry & Neurology (Forensic Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Internal Medicine
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Psychiatry & Neurology (Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053765057, enumerated as an "individual" on April 16, 2016.

The provider is located at 101 QUARTZ DR STE 103 VILLA RICA, GA 30180 and the phone number is (770) 812-3530.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.