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PHUONG UYEN BAO NGUYEN PA-C
NPI 1922827278
Physician Assistant - Medical in Lilburn, GA

Active since October 04, 2024PECOS Enrolled
625 BEAVER RUIN RD NW STE E, LILBURN, GA 30047(678) 369-9399 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phuong Uyen Bao Nguyen Pa-c NPPES

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

PHUONG UYEN BAO NGUYEN PA-C (NPI 1922827278) is an individual medical provider in Lilburn, Georgia, licensed in Georgia (12589) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922827278
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePHUONG UYEN BAO NGUYENCredential: PA-C
Location Address625 BEAVER RUIN RD NW STE ELilburn, GA 30047-3407
Mailing Address625 Beaver Ruin Rd Nw Ste ELilburn, GA 30047-3407 · (678) 369-9399
Phone(678) 369-9399
Sole ProprietorNo
Enumeration DateOctober 4, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1922827278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 12589
625 BEAVER RUIN RD NW STE E, Lilburn, GA 30047
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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 (PECOS)

Phuong Uyen Bao Nguyen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

DR. NGOC BAO PHAN D.O
Internal Medicine
625 BEAVER RUIN RD NW STE E
LILBURN, GA 30047
Gwinnett County (678) 369-9399
TRUECARE MEDICAL LLC
Internal Medicine
625 BEAVER RUIN RD NW STE E
LILBURN, GA 30047
Gwinnett County (678) 369-9399

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 Uyen Nguyen's NPI number?

The NPI number for Phuong Uyen Nguyen is 1922827278. It was assigned to this individual provider in the NPPES registry on October 4, 2024.

Where is Phuong Uyen Nguyen located?

Phuong Uyen Nguyen practices at 625 Beaver Ruin Rd NW Ste E, Lilburn, GA 30047. The listed phone number is (678) 369-9399.

What is Phuong Uyen Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Phuong Uyen Nguyen enrolled in Medicare?

Yes. Phuong Uyen Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phuong Uyen Nguyen was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.