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JONATHAN NGUYEN
NPI 1558716225
Plastic Surgery in Atlanta, GA

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
550 PEACHTREE STREET, SE, 8TH FLOOR, SUITE 4300, ATLANTA, GA 30308(404) 686-8143 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2021, Mar 6, 2019 (2 updates tracked since 2019).

About Jonathan Nguyen NPPES

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

JONATHAN NGUYEN (NPI 1558716225) is an individual plastic surgery provider in Atlanta, Georgia, licensed in Georgia (82571) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558716225
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJONATHAN NGUYEN
Location Address550 PEACHTREE STREET, SE, 8TH FLOOR, SUITE 4300Atlanta, GA 30308
Mailing Address550 Peachtree Street, Se, 8th Floor, Suite 4300Atlanta, GA 30308 · (404) 686-8143
Phone(404) 686-8143
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2021
✔ NPI 1558716225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in GA · 82571
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 PEACHTREE STREET, SE, Atlanta, GA 30308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Jonathan 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 ID4284990326
PECOS Enrollment IDI20211109000102
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 Reassignments

3

Medicare enrollment records show Jonathan Nguyen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanta Plastic Surgery PC
9.7 mi
Plastic Surgery
975 JOHNSON FERRY RD NE, SUITE 100
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1134104680 (404) 256-1311
Northside Surgical Professional Services LLC
9.7 mi
Surgery
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 487 clinicians in this Medicare group
NPI 1356630990 (855) 709-4535
Emergency Coverage, LLC
166 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

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 3

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jonathan Nguyen's NPI number?

The NPI number for Jonathan Nguyen is 1558716225. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Jonathan Nguyen located?

Jonathan Nguyen practices at 550 Peachtree Street, SE 8th Floor, Suite 4300, Atlanta, GA 30308. The listed phone number is (404) 686-8143.

What is Jonathan Nguyen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jonathan Nguyen enrolled in Medicare?

Yes. Jonathan 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 organizations bill Medicare for Jonathan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Nguyen reassigns Medicare benefits to 3 organizations: Atlanta Plastic Surgery PC (Atlanta, GA), Northside Surgical Professional Services LLC (Atlanta, GA) and Emergency Coverage, LLC (Newport, TN). Each 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 Jonathan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Nguyen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jonathan 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 Jonathan Nguyen affiliated with any hospitals?

According to CMS data, Jonathan Nguyen is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Wellstar Kennestone Regional Medical Center, Grady Memorial Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Nguyen was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.