PHUONG THAO THI NGUYEN
NPI 1417784471
Anesthesiologist Assistant in Snellville, GA

Q: What is Phuong Nguyen's NPI number?

The NPI number for Phuong Nguyen is 1417784471. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Q: What is Phuong Nguyen's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Phuong Nguyen was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2024

1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Phuong Thao Thi Nguyen NPPES

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

PHUONG THAO THI NGUYEN (NPI 1417784471) is an individual anesthesiologist assistant in Snellville, Georgia and active in the NPI registry since September 2024. She is affiliated with Piedmont Eastside Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417784471

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NamePHUONG THAO THI NGUYEN

Location Address1700 MEDICAL WAYSnellville, GA 30078-2195

Mailing Address3974 Leeward CtDuluth, GA 30096-5288 · (404) 403-5822

Phone(770) 979-0200

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 16, 2024

NPPES CertifiedSeptember 15, 2024

✔ NPI 1417784471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1700 MEDICAL WAY, Snellville, GA 30078

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phuong Thao Thi Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769911775

PECOS Enrollment IDI20250121001583

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110192

Location1700 Medical WaySnellville, GA 30078 · Gwinnett County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

EDWIN W NUNNERY JR. MD

Pathology (Anatomic Pathology & Clinical Pathology)