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DR. SUONG THU NGUYEN MD
NPI 1992155113
Pediatrics - Pediatric Infectious Diseases in Atlanta, GA

Active since June 18, 2016PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
2015 UPPERGATE DR NE RM 564, ATLANTA, GA 30322(404) 785-5437(404) 785-9098 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 2, 2024, Apr 10, 2024, Jul 17, 2023 and 2 more (5 updates tracked since 2016).

About Dr. Suong Thu Nguyen Md NPPES

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

DR. SUONG THU NGUYEN MD (NPI 1992155113) is an individual pediatric infectious diseases provider in Atlanta, Georgia, licensed in Georgia (99127) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Children's Healthcare Of Atlanta At Egleston, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2016).

NPPES Registry Identity

NPI1992155113
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameDR. SUONG THU NGUYENCredential: MD
Location Address2015 UPPERGATE DR NE RM 564Atlanta, GA 30322-1014
Mailing Address2015 Uppergate Dr Ne Rm 564Atlanta, GA 30322-1014 · (404) 785-5437 · Fax (404) 785-9098
Phone(404) 785-5437
Fax(404) 785-9098
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2016
Enumeration DateJune 18, 2016
Last NPPES UpdateMay 2, 20245 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1992155113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
Licenses✔ Licensed in GA · 99127✔ Licensed in MO · 2019023007
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 2019023007 (MO)
2015 UPPERGATE DR NE RM 564, Atlanta, GA 30322
Open in Google Maps ↗

Other Identifiers 1

Medicaid200062115MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Suong Thu 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 ID1052791050
PECOS Enrollment IDI20240725002287
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

2

Medicare enrollment records show Suong Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Choa Multispecialty, LLC
2.9 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
NPI 1437493467 (404) 785-6000
Emory Medical Care Foundation Inc
4.4 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

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

Hospital Affiliations CMS Care Compare

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

OwnershipVoluntary non-profit - Private
CMS Certification Number113300
Location1405 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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 Suong Nguyen's NPI number?

The NPI number for Suong Nguyen is 1992155113. It was assigned to this individual provider in the NPPES registry on June 18, 2016.

Where is Suong Nguyen located?

Suong Nguyen practices at 2015 Uppergate Dr NE Rm 564, Atlanta, GA 30322. The listed phone number is (404) 785-5437.

What is Suong Nguyen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Suong Nguyen enrolled in Medicare?

Yes. Suong 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 Suong Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suong Nguyen reassigns Medicare benefits to 2 organizations: Choa Multispecialty, LLC (Brookhaven, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Suong Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suong Nguyen accept?

Health plans from Oscar Health list Suong 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 Suong Nguyen affiliated with any hospitals?

According to CMS data, Suong Nguyen is affiliated with Children's Healthcare Of Atlanta At Egleston.

When was this NPI record last updated?

The NPPES record for Suong Nguyen was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.