PHUONGTAM NGUYEN (MD) – Child & Adolescent Psychiatry Physician, NPI 1053765057
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for PHUONGTAM NGUYEN (MD)
4037 NW 86th Ter
Gainesville, FL 326069277
Phone: (352) 265-4357
Type: Location
UF Health Springhill I, 4037, Northwest 86th Terrace, Gainesville, Alachua County, Florida, 32606, United States
GAINESVILLE, FL 326069277
Phone:
Type: Mailing
101 QUARTZ DR STE 103
VILLA RICA, GA 301803255
Phone: (770) 812-3530
Fax: (770) 812-3531
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $993.
Total Amount is formed as General ($993) + Research ($0) + Ownership ($0) = $993.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($405).
Total Amount
$993
General + Research + Ownership
Payments
44
Total payment records
General Amount
$993
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200708003328 | I | Psychiatry | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| P S Y C H I A T R Y | GA | |
| Nurse Practitioner | GA | |
| - | AL | |
| Ophthalmology, Psychiatry | GA | |
| Nurse Practitioner | GA | |
| - | FL | |
| Nurse Practitioner | GA |
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