P Praxis·MD
● Active Type 1 · Individual

DR. Emmeleen F Phan, MD

Pediatrics·Lawrenceville, GA· NPI 1790741593 · Enumerated 2006 · 20 years on NPI
Phan is 1 of 68 pediatrics providers in Lawrenceville and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2006-04-21
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-12-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
1000 Medical Center Blvd
Lawrenceville, GA 300467694
📞 6783123317fax 6783124416
Mailing address
1000 Medical Center Blvd
Lawrenceville, GA 300467694
📞 6783123317fax 6783124416

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #054423 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 495 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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