THI MINH DIEM NGUYEN (MD) – Family Medicine Physician, NPI 1629089354

THI MINH DIEM NGUYEN (MD) is a healthcare provider. based in Austell, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 51697 (GA). The NPI Number for THI MINH DIEM NGUYEN (MD) is 1629089354

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
THI MINH DIEM NGUYEN (MD)
NPI
1629089354
Phone
(678) 398-5440
Address
4426 AUSTELL RD
Enumeration Date
10 August 2006
Last Update Date
27 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1996 (30 years ago)
PAC ID
6406816032
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20041018000614
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for THI MINH DIEM NGUYEN (MD)

  • Austell Road, Austell, Cobb County, Georgia, 30106, United States

    AUSTELL, GA 301061844

    Phone: (678) 398-5440

    Fax: (678) 398-5442

    Mailing address matches the actual address.

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
I20041018000614IFamily 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.

No Medicare fee-for-service utilization data available for this provider in our database.

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

Does THI MINH DIEM NGUYEN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — THI MINH DIEM NGUYEN (MD) uses 1629089354.
Is THI MINH DIEM NGUYEN (MD) listed as active for patients and plans?
The listing shows THI MINH DIEM NGUYEN (MD) as active in the NPI system.
What healthcare role does THI MINH DIEM NGUYEN (MD) hold?
Scheduling teams often label THI MINH DIEM NGUYEN (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is THI MINH DIEM NGUYEN (MD) based?
THI MINH DIEM NGUYEN (MD) is tied to Austell, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about THI MINH DIEM NGUYEN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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