| Thuc Nguyen Doan, NP-C | |
| 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | |
| (762) 235-1470 | |
| (706) 238-8081 | 
| Full Name | Thuc Nguyen Doan | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 1825 Martha Berry Blvd Nw, Rome, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063016590 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN215580 (Georgia) | Primary | 
| Entity Name | Peachtree Immediate Care Fp, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 | 
| Entity Name | Augusta Ways Holdings Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780322982 PECOS PAC ID: 6800275298 Enrollment ID: O20220615000164 | 
| Entity Name | Rome Ways Holdings Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265170377 PECOS PAC ID: 4082093307 Enrollment ID: O20220616001896 | 
| Entity Name | Joint Regeneration Of Dalton | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275213951 PECOS PAC ID: 5597128561 Enrollment ID: O20230824001858 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thuc Nguyen Doan, NP-C 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Thuc Nguyen Doan, NP-C 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 Ph: (762) 235-1470 | 
| Charles Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6515 | |
| Hilarie Hincy Rankin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 John Maddox Dr Nw Ste 100, Rome, GA 30165 Phone: 706-528-9060 Fax: 706-528-9061 | |
| Mckenzi Paige Brumby, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 762-235-2710 Fax: 706-291-2227 | |
| Ashley Nicole Wilbanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Redmond Rd Nw, Suite A, Rome, GA 30165 Phone: 706-233-8506 Fax: 706-233-8507 | |
| Ronald Seth Van Dyke, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Redmond Rd Nw, Rome, GA 30165 Phone: 762-235-3960 Fax: 706-233-8505 | |
| Alexis Butler,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4159 Martha Berry Hwy Nw, Rome, GA 30165 Phone: 706-232-8477 | |
| Linda H. Hoffmann, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Shorter Ave Nw, Suite 102, Rome, GA 30165 Phone: 706-233-9349 Fax: 706-232-7986 |