NPI age
20 years
Enumerated 2006-05-24
● Active
Type 1 · Individual
Lam Trong Phan, PA
Phan is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
677 Church St Ne
Marietta, GA 300601101
Mailing address
3120 Swallow Dr Ne
Marietta, GA 300663001
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
303 Parkway Dr Ne
Atlanta, GA 303121212
Location 3
146 Bill Carruth Pkwy
Hiram, GA 301413749
Location 4
2540 Windy Hill Rd Se
Marietta, GA 300678605
Location 5
8954 Hospital Dr
Douglasville, GA 301342272
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Marietta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.