Phillip T Nguyen, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

14929 Issued in MS

Practice address

1225 N State St
Jackson, MS 39202-2064

Phone

(601) 982-6001

Fax

(601) 982-8616

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR

  Medicare reassignment
• Batesville Emergency Physicians

  • Urgent Care Clinic/Center
  • Batesville, MS
  • NPI 1316036973
  NPD (past)
• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134
  NPD (past)
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)
• Emergency Medicine Associates of Jackson

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1043315906
  NPD (past)
• Ms Wound Care

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Jackson, MS
  • NPI 1891880621

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1568408250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16076",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392366076",
            "telephone_number": "601-982-6001",
            "fax_number": "601-982-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022064",
            "telephone_number": "601-982-6001",
            "fax_number": "601-982-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHILLIP",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MS",
            "license": "14929",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "41357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116449",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chuong Michael Nguyen, PHARMD
• Henry Thai Nguyen, MD
• Hien Ngoc Nguyen
• Jennie Nguyen
• Molly Nguyen
• Phuong Khanh Trong Nguyen, PHARM.D.
• Tram Hong Nguyen
• William Clyde Nicholas, MD
• Donnell Nicholes Jr
• Shantrice Bernice Nichols-Bates, DNP, FNP-C

• Emergency Medical Services (Emergency Medicine) Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.