Individual ProviderNhi-Kieu NguyenFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1315 Jesse Jewell Pkwy NE Ste 300, Gainesville, GA 30501(770) 219-9430(770) 219-8420PECOS EnrollmentBased on the most recent information from CMS, provider Nhi-Kieu Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1194176446Provider TypeIndividualFull NameNguyen, Nhi-KieuCredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date6/28/2016Last Updated1/15/2021Contact InformationPractice LocationPractice Address1315 Jesse Jewell Pkwy NE Ste 300, Gainesville, GA 30501Phone(770) 219-9430FaxUnlisted FaxMailing LocationMailing AddressPO Box 742616, Atlanta, GA 30374-2616Phone(770) 219-8420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense82079GeorgiaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense008576Georgia