THANG XUAN NGUYEN (MD) – Family Medicine Physician, NPI 1164657821

THANG XUAN NGUYEN (MD) is a healthcare provider. based in Canton, Georgia. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE, EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 27172 (OK). The NPI Number for THANG XUAN NGUYEN (MD) is 1164657821

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
THANG XUAN NGUYEN (MD)
NPI
1164657821
Phone
(212) 479-9566
Address
404 AFTER GLOW SMT
Enumeration Date
26 May 2009
Last Update Date
11 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7139487000
Graduation Year
2014 (12 years ago)
PAC ID
8820263130
Group Practice PAC ID
7113258500
Professional Enrollment ID
I20221222000830
Address ID
TX775053959PA4500XSXXX602
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,117 FAMILY PRACTICE in GA

Provider Addresses for THANG XUAN NGUYEN (MD)

  • 404 AFTER GLOW SMT

    CANTON, GA 301145715

    Phone: (212) 479-9566

    Type: Mailing

  • 1360 S MAIN ST

    ELLIJAY, GA 305405410

    Phone: (706) 515-4038

    Type: Location

  • 900, Northeast 10th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States

    FMC 2102

    OKLAHOMA CITY, OK 731045420

    Phone: (405) 271-2230

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($139).

Total Amount

$154

General + Research + Ownership

Payments

2

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111215000535IEmergency MedicineOKTBD
I20170525002248IFamily PracticeMOTBD
I20180710002898IFamily PracticeGATBD
I20221222000830IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making220207$0
99284Emergency department visit with moderate level of medical decision making138134$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8470$0
View full utilization report →

Insurance plans in this area (ZIP 30114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113258500View full group profile
NameSpecialtyState
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineTX
Family PracticeWI
Emergency MedicineTX
Emergency MedicineKS
Emergency MedicineTX
Family Practice, Emergency MedicineTX

Reviews

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Frequently asked questions

Is there an official ID for THANG XUAN NGUYEN (MD) in U.S. healthcare records?
The official identifier for THANG XUAN NGUYEN (MD) is NPI 1164657821.
Would THANG XUAN NGUYEN (MD) appear as active to a payer?
You can treat THANG XUAN NGUYEN (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe THANG XUAN NGUYEN (MD)'s focus?
For THANG XUAN NGUYEN (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with THANG XUAN NGUYEN (MD)?
Directory geography for THANG XUAN NGUYEN (MD) centers on Canton, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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