KIM ANH NGUYEN PAC
NPI 1548712722
Physician Assistant - Surgical in Cumming, GA

Q: What is Kim Nguyen's NPI number?

The NPI number for Kim Nguyen is 1548712722. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Q: What is Kim Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kim Nguyen was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 03, 2016PECOS EnrolledAccepts Medicare Assignment

2000 HOWARD FARM DR STE 200, CUMMING, GA 30041(770) 292-6500(770) 292-6535 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2023, Oct 31, 2018, Sep 29, 2018 and 1 more (4 updates tracked since 2016).

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About Kim Anh Nguyen Pac NPPES

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

KIM ANH NGUYEN PAC (NPI 1548712722) is an individual surgical provider in Cumming, Georgia, licensed in Georgia (10192) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1548712722

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKIM ANH NGUYENCredential: PAC

Location Address2000 HOWARD FARM DR STE 200Cumming, GA 30041-6081

Mailing Address2000 Howard Farm Dr Ste 200Cumming, GA 30041-6081 · (770) 292-6500 · Fax (770) 292-6535

Phone(770) 292-6500

Fax(770) 292-6535

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 3, 2016

Last NPPES UpdateMarch 22, 20234 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1548712722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 10192

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X

2000 HOWARD FARM DR STE 200, Cumming, GA 30041

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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 and accepts Medicare assignment

Kim Anh Nguyen Pac 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 ID5395016489

PECOS Enrollment IDI20230411002041

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.

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

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. BRANDON NAYLOR D.O.

Orthopaedic Surgery