Active NPI
Anthony Tricuong Lam, DO
- Surgery Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 94727
- Practice address
- 200 Herlong Ave S Ste G
Rock Hill, SC 29732-1182 - Phone
- (803) 909-6300
- Fax
- (803) 909-6310
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 94727 | SC | Primary |
| Surgery Physician | 208600000X | OT019214 | PA |
Addresses
Primary practice location
200 Herlong Ave S Ste G
Rock Hill, SC 29732-1182
Mailing address
28 Akers St Apt 1
Johnstown, PA 15905-4337
Phone (321) 514-8768
Other practice location 1
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Herlong Ave S
Suite G
Rock Hill, SC 29732-1182
Phone (803) 909-6300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Physician Network LLC | Surgery | Current | Accepting new patients |
| Piedmont General Surgery Associates, LLC | Surgery | Past | Accepting new patients |
Locations
1000 Wellness Way
Fort Mill, SC 29715
Phone (803) 329-1234
986 Wellness Way
Ste 330
Fort Mill, SC 29715
Phone (803) 265-3986
200 Herlong Ave S
Ste G
Rock Hill, SC 29732
Phone (803) 325-1770
200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
- anthony.lam.1@14929.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Rock Hill, SC
- NPI 1639459027
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1184185431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 AKERS ST APT 1",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054337",
"telephone_number": "321-514-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HERLONG AVE S STE G",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321182",
"telephone_number": "803-909-6300",
"fax_number": "803-909-6310"
}
],
"practiceLocations": [
{
"address_1": "1086 Franklin St",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "PA",
"postal_code": "159054305",
"country_code": "US",
"telephone_number": "814-534-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAM",
"first_name": "ANTHONY",
"middle_name": "TRICUONG",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "94727",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OT019214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.