Active NPI
Phong Thanh Phan, M.D.
- Hospitalist Physician
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 29289
- Practice address
- 200 Fleetwood Dr
Easley, SC 29640-2022 - Phone
- (864) 442-7200
- NPI assigned
- Jul 8, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD29289 | SC | |
| Internal Medicine Physician | 207R00000X | 2006-00994 | NC | |
| Hospitalist Physician | 208M00000X | 29289 | SC | Primary |
Addresses
Primary practice location
200 Fleetwood Dr
Easley, SC 29640-2022
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6328
Other practice location 1
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 936-7372
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pphan198121@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22725 Hwy 76 E
Clinton, SC 29325-7527
Phone (864) 833-9100
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460
811 W Main St
Lexington, SC 29072-2500
Hospital & facility affiliations
- Interim Healthcare of the Upstate
- Lexington Medical Center
- Prisma Health Baptist Easley Hospital
- Prisma Health Oconee Memorial Hospital
- Prisma Health Greenville Memorial Hospital
- Prisma Health Laurens County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-00994 | NC | MD | Internal Medicine Physician |
| MD29289 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group South Carolina | Internal Medicine | Current | Accepting new patients |
| Lexington Health Inc | Internal Medicine | Current | Accepting new patients |
| Prisma Health University Medical Group | Internal Medicine | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Lexington Health Inc | Internal Medicine | Current | Accepting new patients |
Locations
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Interoperability endpoints
- pphan55540@direct.ghs.myhfn.org
- pphan198121@direct.lexmed.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Internal Medicine
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1376144972
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 50
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, SC
- NPI 1750897609
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
-
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- General Acute Care Hospital
- Clinton, SC
- NPI 1245786367
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1275566846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FLEETWOOD DR",
"city": "EASLEY",
"state": "SC",
"postal_code": "296402022",
"telephone_number": "864-442-7200"
}
],
"practiceLocations": [
{
"address_1": "2720 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291694810",
"country_code": "US",
"telephone_number": "803-936-7372",
"fax_number": "803-936-4102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "PHONG",
"middle_name": "THANH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "MD29289",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2006-00994",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "29289",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pphan198121@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.