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

Tan D. Nguyen, RPA

Individual provider Radiology Practitioner Assistant · NPI 1407140098

Tan D. Nguyen, RPA is a Physician Assistant in East Ellijay, Georgia. Qualified in 2017, 9 years ago. Practices with Ellijay Urgent Care and Family Practice, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2011
Specialties on file
2

Practice location Address checks out

97 Hefner St Ste 202
East Ellijay, GA 30540-8268
Phone: (706) 635-5177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Radiology Practitioner Assistant Taxonomy 243U00000X · Licence 912827 (OR)

Record details

NPI number1407140098
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA
Sole proprietorNo
NPI enumeratedJune 1, 2011
Last updated in NPPESMay 12, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ellijay Urgent Care And Family Practice, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare