Individual provider Active NPI

Dung A. Nguyen, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1134169337
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69203 Issued in FL
Practice address
505 Appleyard Dr
Tallahassee, FL 32304-2854
Phone
(850) 576-8988
Fax
(850) 576-1307
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME69203 FL Primary

Addresses

Primary practice location

505 Appleyard Dr
Tallahassee, FL 32304-2854

Mailing address

505 Appleyard Dr
Tallahassee, FL 32304-2854
Phone (850) 576-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000549 FL Practitioner - Family Practice 5395869424 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69203FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Patients First Lake Ella Medical Center P a Family Medicine CurrentSince Jul 10, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Jan 10, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Jan 10, 2018 Accepting new patients

Locations

3258 N Monroe St
Tallahassee, FL 32303
Phone (850) 562-2010

1301 Hodges Dr
Tallahassee, FL 32308
Phone (850) 431-5430

3401 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 386-2266

505 Appleyard Dr
Tallahassee, FL 32304
Phone (850) 576-8988

1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222

1705 Mahan Dr
Tallahassee, FL 32308
Phone (850) 877-7164

2907 Kerry Forest Pkwy
Tallahassee, FL 32309
Phone (850) 668-3380

1160 Apalachee Pkwy
Tallahassee, FL 32301
Phone (850) 878-8843

590 Lanier Ave W
Fayetteville, GA 30214

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1134169337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 APPLEYARD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323042854",
            "telephone_number": "850-576-8988",
            "fax_number": "850-576-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 APPLEYARD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323042854",
            "telephone_number": "850-576-8988",
            "fax_number": "850-576-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUNG",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.