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QUOC BAO HOA NGUYEN MD
NPI 1427510023
Internal Medicine in Atlanta, GA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
720 WESTVIEW DR SW, ATLANTA, GA 30310(404) 756-1368(404) 756-1313 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2022, Apr 2, 2019 (2 updates tracked since 2019).

About Quoc Bao Hoa Nguyen Md NPPES

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

QUOC BAO HOA NGUYEN MD (NPI 1427510023) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (92730) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Morehouse School Of Medicine (2019).

NPPES Registry Identity

NPI1427510023
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameQUOC BAO HOA NGUYENCredential: MD
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address360 Oak Vista CtLawrenceville, GA 30044-6722 · (404) 924-5597
Phone(404) 756-1368
Fax(404) 756-1313
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1427510023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 92730
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
720 WESTVIEW DR SW, Atlanta, GA 30310
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Quoc Bao Hoa Nguyen Md 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 ID3274916358
PECOS Enrollment IDI20220823001746
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 Quoc Bao Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hamilton Medical Center, Inc.
79 mi
General Acute Care Hospital
1200 MEMORIAL DR
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
NPI 1528056066 (706) 272-6000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
355 services156 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
112 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
109 services105 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
75 services74 patients

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30310 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 20

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

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Quoc Bao Nguyen's NPI number?

The NPI number for Quoc Bao Nguyen is 1427510023. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Quoc Bao Nguyen located?

Quoc Bao Nguyen practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (404) 756-1368.

What is Quoc Bao Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Quoc Bao Nguyen enrolled in Medicare?

Yes. Quoc Bao 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 Quoc Bao Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quoc Bao Nguyen reassigns Medicare benefits to Hamilton Medical Center, Inc. (Dalton, 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 Quoc Bao Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quoc Bao Nguyen accept?

Health plans from Alliant Health Plans, Inc. list Quoc Bao 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.

Is Quoc Bao Nguyen affiliated with any hospitals?

According to CMS data, Quoc Bao Nguyen is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Quoc Bao Nguyen was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.