Individual provider Active NPI

Humayun Afzal Mian, M.D.

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1770900052
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
61684 Issued in TN
Practice address
330 23Rd Ave N Ste 140
Nashville, TN 37203-1536
Phone
(615) 342-6905
Fax
(855) 820-6288
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.36509 AL
Psychiatry Physician 2084P0800X 61684 TN Primary

Addresses

Primary practice location

330 23Rd Ave N Ste 140
Nashville, TN 37203-1536

Mailing address

330 23Rd Ave N Ste 140
Nashville, TN 37203-1536
Phone (615) 342-6905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HUMAYUN.MIAN@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200713000253 TN Practitioner - Psychiatry 1951603786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustpoint Hospital LLCGroup PAC ID 8325295280, 22 clinicians

Practice addresses (Care Compare)

1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone (615) 867-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36509ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustpoint Hospital LLC Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Trustpoint Hospital LLC CurrentSince Jul 1, 2023 Accepting new patients
SVPS Psychiatric Services LLC Psychiatry Past Accepting new patients
Trustpoint Hospital, LLC Past Accepting new patients

Locations

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

Interoperability endpoints

  • Direct secure messaging: humayun.mian@hca1.eclinicaldirectplus.com
  • Direct secure messaging: humayunmian@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1770900052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031536",
            "telephone_number": "615-342-6905",
            "fax_number": "855-820-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 140",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031536",
            "telephone_number": "615-342-6905",
            "fax_number": "855-820-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAN",
        "first_name": "HUMAYUN",
        "middle_name": "AFZAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-01-26",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.36509",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "61684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HUMAYUN.MIAN@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "330 23rd Ave N Ste 140",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.