MEDICARE: VIVA PRIMARY CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1013843176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVA PRIMARY CARE, LLC

Provider Business Mailing Address
First Line	:	2800 N DRUID HILLS RD NE BLDG B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3987
Country	:	US
Telephone Number	:	404-867-4250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 N DRUID HILLS RD NE BLDG B
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3987
Country	:	US
Telephone Number	:	404-867-4250
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER/MANAGER
Name	:	DR. VIEN XUAN NGUYEN
Credential	:	MD
Telephone Number	:	404-867-4250

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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