Individual provider Active NPI

Mai-Trinh Truong Pham, MD

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1073006961
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52674 Issued in SC
Practice address
3600 Forest Dr Ste 300
Columbia, SC 29204-4057
Phone
(803) 749-5101
Fax
(803) 933-3045
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52674 SC Primary

Addresses

Primary practice location

3600 Forest Dr Ste 300
Columbia, SC 29204-4057

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320

Other practice location 1

109 Barton Creek Ct
Columbia, SC 29229-8027
Phone (803) 256-2286

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpham111488@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830002286 SC Practitioner - Family Practice 8123435047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

109 Barton Creek CT
Columbia, SC 29229-8027
Phone (803) 256-2286

557 Columbia Ave
Chapin, SC 29036-8324

565 Columbia Ave
Chapin, SC 29036-8324

707 Old Cherokee Rd
Lexington, SC 29072-9040
Phone (803) 314-9110

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52674SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2024 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

109 Barton Creek Ct
Ste A
Columbia, SC 29229
Phone (803) 791-2683

109 Barton Creek Ct
Columbia, SC 29229
Phone (803) 256-2286

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Interoperability endpoints

  • Direct secure messaging: mpham111488@direct.lexmed.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1073006961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FOREST DR STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044057",
            "telephone_number": "803-749-5101",
            "fax_number": "803-933-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Barton Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292298027",
            "country_code": "US",
            "telephone_number": "803-256-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MAI-TRINH",
        "middle_name": "TRUONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "52674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpham111488@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "109 Barton Creek Ct",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292298027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.