BRENDA NGUYEN – Anesthesiologist Assistant, NPI 1861385577

BRENDA NGUYEN is a healthcare provider. based in Canton, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. 13563 (GA). The NPI Number for BRENDA NGUYEN is 1861385577

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
BRENDA NGUYEN
NPI
1861385577
Phone
Not provided
Address
124 PRESCOTT DR
Enumeration Date
31 May 2025
Last Update Date
23 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4048518000
Graduation Year
2025 (1 year ago)
PAC ID
7618461989
Group Practice PAC ID
5496134348
Professional Enrollment ID
I20251214000077
Address ID
GA303421606AT1000XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for BRENDA NGUYEN

  • 124 PRESCOTT DR

    CANTON, GA 301148807

    Phone:

    Type: Mailing

  • 1000 JOHNSON FERRY RD

    ATLANTA, GA 303421606

    Phone: (404) 851-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-12-14

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
I20251214000077IAnesthesiology 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 30114)

Loading plans...

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: 5496134348View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is BRENDA NGUYEN's NPI number?
BRENDA NGUYEN's NPI is 1861385577 — the number used across U.S. healthcare to identify this provider.
Is BRENDA NGUYEN still an active registrant?
BRENDA NGUYEN carries an active NPI according to the public dataset.
What area of care is associated with BRENDA NGUYEN?
BRENDA NGUYEN's record emphasizes Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is BRENDA NGUYEN located near Canton?
BRENDA NGUYEN currently maps to Canton, Georgia in this extract.
When was this NPI issued?
Enumeration for BRENDA NGUYEN is noted as May 31, 2025 where the registry provides it.

Similar Providers

TARA MARIE MOSS (PAA)

Anesthesiologist Assistant
108 ESSEX VALLEY CT
NPI: 1255371118

ERICA ADDISON (AA-C)

Anesthesiologist Assistant
933 BRADBURY SE
NPI: 1023310927

TRACI GABLES (C.A.A.)

Anesthesiologist Assistant
302, Arlington Circle, Canton, Cherokee County, Georgia, 30114, United States
NPI: 1043767437

KALUM LEIBA (CAA)

Anesthesiologist Assistant
1000 Johnson Fy Rd NE
NPI: 1336751494

MACKENSIE HOGAN

Anesthesiologist Assistant
601 E HAMPTON PL
NPI: 1346031739