Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ly Ngoc Thi Nguyen, PA

Individual provider Physician Assistant · NPI 1871450155

Ly Ngoc Thi Nguyen, PA is a Physician Assistant in Raleigh, North Carolina. Qualified in 2025, 1 year ago. Practices with North Carolina Mg LLC, a 712-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-5380
Fax: (919) 784-5605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-16257 (NC)

Record details

NPI number1871450155
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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