1. Home
  2. Directory
  3. Georgia
  4. Villa Rica
  5. Psychiatry Neurology
  6. NPI Profile

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: November 01, 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
Phone(770) 812-3530
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phuongtam Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244527851
PECOS Enrollment IDI20200708003328
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phuongtam Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmc-Behavioral Health Of West Georgia
Same address
Geriatric Psychiatry
101 QUARTZ DR STE 103B
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
  • 73 clinicians in this Medicare group
NPI 1356795462 (770) 812-3530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM SCHNEIDER M.D.
Psychiatry & Neurology (Forensic Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 812-3530
CHARMAINE WILSON MD
Psychiatry & Neurology (Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 812-3530
AVJOLA HOXHA M.D.
Psychiatry & Neurology (Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 812-3530
DR. ASHAKI EVA WARREN M.D.
Psychiatry & Neurology (Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 812-3530
JULIE DOWDY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 812-3531
YONAS TAMENE MD
Internal Medicine
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 812-3530
DEBORA A LAMONICA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 812-3530
EL JANEO D VEREEN
Counselor (Mental Health)
101 QUARTZ DR STE 103
VILLA RICA, GA 30180
Carroll County (770) 838-8863

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phuongtam Nguyen's NPI number?

The NPI number for Phuongtam Nguyen is 1053765057. It was assigned to this individual provider in the NPPES registry on April 16, 2016.

Where is Phuongtam Nguyen located?

Phuongtam Nguyen practices at 101 Quartz Dr Ste 103, Villa Rica, GA 30180. The listed phone number is (770) 812-3530.

What is Phuongtam Nguyen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Phuongtam Nguyen enrolled in Medicare?

Yes. Phuongtam Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phuongtam Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phuongtam Nguyen reassigns Medicare benefits to Tmc-Behavioral Health Of West Georgia (Villa Rica, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phuongtam Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phuongtam Nguyen accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Phuongtam Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phuongtam Nguyen was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.