TAN D. NGUYEN (RPA) – Physician Assistant, NPI 1407140098
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for TAN D. NGUYEN (RPA)
145 CEDAR WOODS TRL
CANTON, GA 301147769
Phone: (541) 852-7719
Type: Mailing
97 HEFNER ST
SUITE 202
EAST ELLIJAY, GA 305408268
Phone: (706) 635-5177
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,495.
Total Amount is formed as General ($1,495) + Research ($0) + Ownership ($0) = $1,495.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: United Orthopedics LLC ($394).
Total Amount
$1,495
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,495
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| United Orthopedics LLC | $394 |
| ABBVIE INC. | $247 |
| Intrinsic Therapeutics | $150 |
| Sanara MedTech Inc. | $143 |
| Exact Sciences Corporation | $117 |
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: 2017-11-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171129001278 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 67 | 60 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 58 | 28 | $0 |
| 81003 | Automated urinalysis test | 32 | 26 | $0 |
Insurance plans in this area (ZIP 30114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA |
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