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KIM NGUYEN
NPI 1073193769
Family Medicine in Woodstock, GA

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
604 LOVEJOY LN, WOODSTOCK, GA 30189(770) 268-4011 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2024, Apr 8, 2021 (2 updates tracked since 2021).

About Kim Nguyen NPPES

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

KIM NGUYEN (NPI 1073193769) is an individual family medicine provider in Woodstock, Georgia, licensed in Georgia (100156) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073193769
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIM NGUYEN
Location Address604 LOVEJOY LNWoodstock, GA 30189-3634
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116
Phone(770) 268-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1073193769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 100156
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
604 LOVEJOY LN, Woodstock, GA 30189
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Nguyen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688077332
PECOS Enrollment IDI20241105000714
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 Kim Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aylo Health, LLC
15 mi
Family Medicine
3333 RIVERWOOD PKWY SE STE 250
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1013018811 (770) 914-0116

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SYDNEY HENDERSON
Nurse Practitioner (Family)
604 LOVEJOY LN
WOODSTOCK, GA 30189
Cherokee County (770) 268-4011
MRS. NOREN NASRUDDIN SALEHANI MMSC., PA-C
Physician Assistant
604 LOVEJOY LN
WOODSTOCK, GA 30189
Cherokee County (770) 268-4011

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 Kim Nguyen's NPI number?

The NPI number for Kim Nguyen is 1073193769. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Kim Nguyen located?

Kim Nguyen practices at 604 Lovejoy Ln, Woodstock, GA 30189. The listed phone number is (770) 268-4011.

What is Kim Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kim Nguyen enrolled in Medicare?

Yes. Kim Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kim Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Nguyen reassigns Medicare benefits to Aylo Health, LLC (Atlanta, 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 Kim Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Nguyen was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.