TUNG VAN NGUYEN (DO) – Family Medicine Physician, NPI 1245248103

TUNG VAN NGUYEN (DO) is a healthcare provider. based in Austell, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 44802 (GA). The NPI Number for TUNG VAN NGUYEN (DO) is 1245248103

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
TUNG VAN NGUYEN (DO)
NPI
1245248103
Phone
(770) 944-1830
Address
1790 Mulkey Rd Ste 8A
Enumeration Date
4 August 2006
Last Update Date
26 September 2019

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
6800856451
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20041018000665
Address ID
GA301061122AU1790XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
tnguyen23218@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,103 FAMILY PRACTICE in GA

Provider Addresses for TUNG VAN NGUYEN (DO)

  • 1790 Mulkey Rd Ste 8A

    Austell, GA 301061122

    Phone: (770) 944-1830

    Fax: (770) 739-0260

    Type: Location

  • 1790 MULKEY RD

    STE. 8

    AUSTELL, GA 301061122

    Phone: (770) 944-1830

    Fax: (770) 739-0260

    Type: Mailing

  • 657 VININGS ESTATES DR SE

    MABLETON, GA 30126

    Phone: (404) 274-5182

    Fax: (678) 398-5442

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041018000665IFamily PracticeGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes205138$0
99213Established patient office or other outpatient visit, 20-29 minutes171161$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit116116$0
G0008Administration of influenza virus vaccine3232$0
90662Influenza vaccine split virus, preservative free2727$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for TUNG VAN NGUYEN (DO) in U.S. healthcare records?
The official identifier for TUNG VAN NGUYEN (DO) is NPI 1245248103.
Active or inactive — what applies to TUNG VAN NGUYEN (DO)?
You should see TUNG VAN NGUYEN (DO) as active in CMS-hosted NPPES data.
How would a patient describe TUNG VAN NGUYEN (DO)'s focus?
For TUNG VAN NGUYEN (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is TUNG VAN NGUYEN (DO) registered?
Use Austell, Georgia as the headline location for TUNG VAN NGUYEN (DO) here.
Can I trust this NPI listing for TUNG VAN NGUYEN (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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