PHUONG THAO THI NGUYEN
NPI 1417784471
Anesthesiologist Assistant in Snellville, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phuong Thao Thi Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Phuong Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Snellville, GA 30078
- Reassigned Medicare billing, Georgia enrollment
- 156 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SNELLVILLE, GA 30078
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 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.
Where is Phuong Nguyen located?
Phuong Nguyen practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.
What is Phuong Nguyen's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Phuong Nguyen enrolled in Medicare?
Yes. Phuong Nguyen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Phuong Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phuong Nguyen reassigns Medicare benefits to Premier Anesthesia Of Georgia LLC (Snellville, 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 Phuong Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phuong Nguyen affiliated with any hospitals?
According to CMS data, Phuong Nguyen is affiliated with Piedmont Eastside Medical Center.
When was this NPI record last updated?
The NPPES record for Phuong Nguyen was last updated on September 16, 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.
# Phuong Thao Thi Nguyen · NPI 1417784471
Anesthesiologist Assistant physician in Snellville, Georgia. Individual provider, active in the CMS NPPES registry since September 16, 2024.
## Identity
- **NPI:** 1417784471 (Entity type: Individual)
- **Enumerated:** September 16, 2024
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 MEDICAL WAY, Snellville, GA 30078-2195
- **Phone:** (770) 979-0200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Premier Anesthesia Of Georgia LLC (NPI 1811403207, Snellville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417784471) · Data from the CMS NPPES public registry.