VAN THE NGUYEN – Anesthesiologist Assistant, NPI 1720867294

VAN THE NGUYEN is a healthcare provider. based in Norcross, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. 12084 (GA). The NPI Number for VAN THE NGUYEN is 1720867294

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
VAN THE NGUYEN
NPI
1720867294
Phone
(678) 644-2141
Address
6476 CHESTNUT GLEN DR.
Enumeration Date
25 September 2023
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4047787525
Graduation Year
2023 (3 years ago)
PAC ID
7315382397
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20241206002694
Address ID
GA303221013AT1365XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for VAN THE NGUYEN

  • 6476 CHESTNUT GLEN DR.

    NORCROSS, GA 30071

    Phone: (678) 644-2141

    Type: Mailing

  • 1364 CLIFTON RD NE

    ATLANTA, GA 303221059

    Phone: (404) 712-2000

    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: 2024-12-06

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
I20241206002694IAnesthesiology AssistantGATBD

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 30071)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What unique ID ties claims to VAN THE NGUYEN?
NPI 1720867294 is assigned to VAN THE NGUYEN under the national enumeration system.
Is VAN THE NGUYEN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does VAN THE NGUYEN treat or focus on?
Patients typically see VAN THE NGUYEN under the specialty Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for VAN THE NGUYEN?
The page summarizes Norcross, Georgia for VAN THE NGUYEN; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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