Tam Hoang Tran, PAC, MSPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006554 Issued in GA

Practice address

545 Old Norcross Rd
Suite 300-B
Lawrenceville, GA 30046-3389

Phone

(678) 666-4088

Fax

(678) 666-4033

NPI assigned

Aug 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1285980839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SUMMERSTONE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 OLD NORCROSS RD",
            "address_2": "SUITE 300-B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463389",
            "telephone_number": "678-666-4088",
            "fax_number": "678-666-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAM",
        "middle_name": "HOANG",
        "credential": "PAC, MSPAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna My Thi Tran, FNP-C
• Huong Tran, DPT
• Lucy Tran, RBT
• Oanh Ngoc Thi Tran, NP
• Sang Van Tran
• Thien T Tran, DPT
• Thien-an T Tran, PHARMD
• Todd N Tran, D.C.
• Tung Tran, RPH
• Judy Trang-Mangonon, MD

• Medical Physician Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.