Active NPI
Mia Phi Nguyen
- Adult Medicine Physician
- Pelham, AL
National Provider Identifier
1902769383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 1-102463
- Practice address
- 1970 Chandalar Office Park
Pelham, AL 35124-1312 - Phone
- (205) 644-8640
- Fax
- (205) 574-3117
- NPI assigned
- Dec 3, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 1-102463 | AL | Primary |
Addresses
Primary practice location
1970 Chandalar Office Park
Pelham, AL 35124-1312
Mailing address
1970 Chandalar Office Park
Pelham, AL 35124-1312
Phone (205) 644-8640
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102463 | AL | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1902769383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 CHANDALAR OFFICE PARK",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241312",
"telephone_number": "205-644-8640",
"fax_number": "205-574-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 CHANDALAR OFFICE PARK",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241312",
"telephone_number": "205-644-8640",
"fax_number": "205-574-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MIA",
"middle_name": "PHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AL",
"license": "1-102463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.