Individual provider Active NPI

Hang My-Thi Nguyen, FNP

  • Family Nurse Practitioner
  • Petal, MS
National Provider Identifier
1114291184
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R884274 Issued in MS
Practice address
100 Eastbrook Dr Ste 30
Petal, MS 39465-6012
Phone
(601) 336-5393
NPI assigned
Mar 8, 2012
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R884274 MS Primary

Addresses

Primary practice location

100 Eastbrook Dr Ste 30
Petal, MS 39465-6012

Mailing address

100 Eastbrook Dr Ste 30
Petal, MS 39465-6012
Phone (601) 336-5393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000511 MS Practitioner - Nurse Practitioner 1951565670 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxem Health Urgent Care DibervilleGroup PAC ID 1759624968, 11 clinicians

Practice addresses (Care Compare)

10319 Diberville Blvd
Diberville, MS 39540-2506
Phone (228) 223-1927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R884274MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfport 49 Imaging, LLC CurrentSince May 9, 2021 Accepting new patients
Hattiesburg Urgent Care, LLC CurrentSince Aug 4, 2017 Accepting new patients
Pascagoula Urgent Care CurrentSince Apr 7, 2012 Accepting new patients
Maxem Health Urgent Care Diberville CurrentSince Aug 1, 2019 Accepting new patients
Picayune Urgent Care Clinic, LLC CurrentSince Apr 7, 2012 Accepting new patients

Locations

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240

1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

422 Memorial Blvd
Picayune, MS 39466
Phone (601) 749-0080

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1114291184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EASTBROOK DR STE 30",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394656012",
            "telephone_number": "601-336-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EASTBROOK DR STE 30",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394656012",
            "telephone_number": "601-336-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HANG",
        "middle_name": "MY-THI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R884274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petal, MS

Sources for this page

Verify at the official NPI Registry.