Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thao Phuong Nguyen, MD

Individual provider Family Medicine Physician · NPI 1073798419

Dr. Thao Phuong Nguyen, MD is a Family Practice in Waxhaw, North Carolina. Qualified in 2004, 22 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Washington.

Years since qualifying
22
Licensed in
NC, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3614 S Providence Rd Ste 200
Waxhaw, NC 28173-6310
Phone: (704) 384-8640
Fax: (704) 384-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6404 Albemarle Rd, Charlotte, NC 28212-3800 — (704) 532-8884

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2008-00070 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00049036 (WA)

Record details

NPI number1073798419
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 3, 2008
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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