Individual provider Active NPI

Thai Thong Le, FNP-BC

  • Family Nurse Practitioner
  • Lilburn, GA
National Provider Identifier
1316771082
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN295462 Issued in GA
Practice address
470 Pleasant Hill Rd NW
Lilburn, GA 30047-2734
Phone
(678) 786-1118
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN295462 GA Primary

Addresses

Primary practice location

470 Pleasant Hill Rd NW
Lilburn, GA 30047-2734

Mailing address

1695 Holly Lake Cir
Snellville, GA 30078-6730
Phone (404) 997-9402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN295462GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican Hill Medical Center, LLC Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Stone Mountain Skin Health Center PastSince Sep 1, 2024 Accepting new patients

Locations

470 Pleasant Hill Rd NW
Lilburn, GA 30047
Phone (678) 786-1118

Interoperability endpoints

  • Direct secure messaging: thai.le.1@17167.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17167/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1316771082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 HOLLY LAKE CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786730",
            "telephone_number": "404-997-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PLEASANT HILL RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472734",
            "telephone_number": "678-786-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THAI",
        "middle_name": "THONG",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN295462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.