NPI age
1 years
Enumerated 2024-10-04
● Active
Type 1 · Individual
Phuong Uyen Bao Nguyen, PA-C
Nguyen is 1 of 5 physician assistant providers in Lilburn and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
1 years
↓ 14 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Practice location
625 Beaver Ruin Rd Nw Ste E
Lilburn, GA 300473407
Mailing address
625 Beaver Ruin Rd Nw Ste E
Lilburn, GA 300473407
Additional practice locations
1 secondary location on file with NPPES.
Location 2
302 Satellite Blvd Ne Ste 109-110
Suwanee, GA 300247181
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.