Active NPI
Nam Nguyen
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
National Provider Identifier
1003567033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 201 Dowman Dr NE
Atlanta, GA 30322-1061 - Phone
- (404) 727-6123
- NPI assigned
- Jan 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | GA | Primary |
Addresses
Primary practice location
201 Dowman Dr NE
Atlanta, GA 30322-1061
Mailing address
201 Dowman Dr NE
Atlanta, GA 30322-1061
Phone (404) 727-6123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060811916 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1003567033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DOWMAN DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221061",
"telephone_number": "404-727-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DOWMAN DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221061",
"telephone_number": "404-727-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
"identifier": "060811916",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.