Active NPI
Huu Phan, PA-C
- Physician Assistant
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10955
- Practice address
- 6300 Hospital Pkwy Ste 400
Johns Creek, GA 30097-1983 - Phone
- (678) 205-4261
- Fax
- (678) 417-7187
- NPI assigned
- Feb 9, 2021
- Last updated
- Jan 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10955 | GA | Primary |
Addresses
Primary practice location
6300 Hospital Pkwy Ste 400
Johns Creek, GA 30097-1983
Mailing address
3100 Interstate North Cir SE Ste 500
Atlanta, GA 30339-2296
Phone (770) 953-6929
Other practice location 1
771 Old Norcross Rd Ste 390
Lawrenceville, GA 30046-4324
Phone (678) 957-0757
Other names 1
- Mr. Huu Phan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 957-0757
10670 Medlock Bridge Rd
Johns Creek, GA 30097-8441
Phone (678) 312-8570
620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812
6300 Hospital Pkwy
Johns Creek, GA 30097-1983
771 Old Norcross Rd
Suite 390
Lawrenceville, GA 30046-4324
Phone (678) 957-0757
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoatlanta, LLC | Multi-Specialty | Current | Accepting new patients |
| Orthoatlanta, LLC | Multi-Specialty | Current | Accepting new patients |
| Orthoatlanta, LLC | Multi-Specialty | Past | Accepting new patients |
Locations
3100 Interstate North Cir SE
Ste 500
Atlanta, GA 30339
Phone (770) 953-6929
900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929
1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771
6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261
771 Old Norcross Rd
Ste 390
Lawrenceville, GA 30046
Phone (678) 957-0757
620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1114317062
-
- Orthopaedic Surgery Physician
- Newnan, GA
- NPI 1851937114
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1457943565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 INTERSTATE NORTH CIR SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392296",
"telephone_number": "770-953-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 HOSPITAL PKWY STE 400",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971983",
"telephone_number": "678-205-4261",
"fax_number": "678-417-7187"
}
],
"practiceLocations": [
{
"address_1": "771 Old Norcross Rd Ste 390",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300464324",
"country_code": "US",
"telephone_number": "678-957-0757",
"fax_number": "678-957-9597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "HUU",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HUU",
"last_name": "PHAN",
"prefix": "MR.",
"credential": "HUU PHAN, PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.