P Praxis·MD
● Active Type 1 · Individual

Khoa D Nguyen, MD

Radiology·Statesboro, GA· NPI 1821082421 · Enumerated 2005 · 20 years on NPI
Nguyen is 1 of 8 radiology providers in Statesboro and 1 of 1280 in Georgia.
NPI age
20 years
Enumerated 2005-09-09
Primary specialty
Radiology
Plus 10 subspecialties
Licensed in
GA, NJ, VA
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
3 states
Top 78% — 21% of peers are multi-state
Subspecialties
6
In the 38% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
1499 Fair Road
Statesboro, GA 30458
📞 9124861533fax 9128712396
Mailing address
P.o. Box 3578
Augusta, GA 309143578
📞 7067374575fax 7067315289

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
8700 Sudley Rd
Manassas, VA 201104418
📞 7033698073
Location 3
3601 W 13 Mile Rd
Royal Oak, MI 480736712
📞 2488986509
Location 4
100 Madison Ave
Morristown, NJ 079606136
📞 9739715370

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #53793NJ license #25IA12514200GA license #053793VA license #0101284501 taxonomy 2085R0202X
  • Radiology
    A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
    GA license #053793 taxonomy 2085N0700X
  • Radiology
    A Radiology doctor of Osteopathy that specializes in Body Imaging.
    GA license #053793 taxonomy 2085B0100X
  • Radiology
    A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures...
    GA license #053793 taxonomy 2085P0229X
  • Radiology
    A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
    GA license #053793 taxonomy 2085N0904X
  • Radiology
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    GA license #53793GA license #053793 taxonomy 2085R0204X
  • Radiology
    A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
    GA license #053793 taxonomy 2085U0001X

Identifiers

TypeValueNotes
01 (GA) 002515 BLUE CROSS
01 P00061112 RAILROAD MEDICARE
01 (GA) 30017056 KEYSTONE MERCY
05 (GA) 889490068A
05 (GA) 889490068C
05 (SC) G53793
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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