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DR. THOMAS A NGUYEN DO
NPI 1669495669
Family Medicine in East Ellijay, GA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
97 HEFNER ST STE 202, EAST ELLIJAY, GA 30540(706) 635-5177(706) 635-5171 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 6, 2017 (2 updates tracked since 2017).

About Dr. Thomas A Nguyen Do NPPES

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

DR. THOMAS A NGUYEN DO (NPI 1669495669) is an individual family medicine provider in East Ellijay, Georgia, licensed in Georgia (062579) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Michigan State University College Of Human Medicine (1996).

NPPES Registry Identity

NPI1669495669
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS A NGUYENCredential: DO
Location Address97 HEFNER ST STE 202East Ellijay, GA 30540-8268
Mailing Address97 Hefner St Ste 202East Ellijay, GA 30540-8268 · (706) 635-5177 · Fax (706) 635-5171
Phone(706) 635-5177
Fax(706) 635-5171
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1996
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1669495669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 062579
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
97 HEFNER ST STE 202, East Ellijay, GA 30540
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Other Identifiers 2

Medicaid006600183AGA
Other52254127GA · B/cb/s

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas A Nguyen Do 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 ID8325033640
PECOS Enrollment IDI20090930000083
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.

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
70 services39 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
33 services31 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services15 patients

Hospital Affiliations CMS Care Compare 3

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

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

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30540 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers41 claims94 services$4.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims19 services$0.68 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers14 claims27 services$1.93 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier12 claims24 services$1.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers11 claims11 services$108.25 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims78 services$3.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ELLIJAY URGENT CARE & FAMILY PRACTICE LLC
Clinic/Center (Rural Health)
97 HEFNER ST STE 202
EAST ELLIJAY, GA 30540
Gilmer County (706) 635-5177

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 Thomas Nguyen's NPI number?

The NPI number for Thomas Nguyen is 1669495669. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Thomas Nguyen located?

Thomas Nguyen practices at 97 Hefner St Ste 202, East Ellijay, GA 30540. The listed phone number is (706) 635-5177.

What is Thomas Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Nguyen enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Nguyen accept?

Health plans from Alliant Health Plans, Inc. list Thomas 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 Thomas Nguyen affiliated with any hospitals?

According to CMS data, Thomas Nguyen is affiliated with Northside Hospital Cherokee, Adventhealth Murray and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Thomas Nguyen was last updated on July 21, 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.