Truecare Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRUECARE MEDICAL LLC

Practice address

625 Beaver Ruin Rd NW Ste E
Lilburn, GA 30047-3407

Phone

(678) 369-9399

Fax

(833) 464-3867

NPI assigned

Jul 28, 2021

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ngoc Bao Phan, DONPI 1215299086

Title

Provider

Phone

(678) 369-9399

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ngoc Bao Phan, D.O

  • Internal Medicine Physician
  • Lilburn, GA
  • NPI 1215299086
  Medicare reassignment NPD Authorized official
• Crystal Ho, AGNP-C

  • Primary Care Nurse Practitioner
  • Norcross, GA
  • NPI 1346001773
  Medicare reassignment NPD
• Scott Loan

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1386591915
  Medicare reassignment NPD
• Son Bang Mai, FNP

  • Family Nurse Practitioner
  • Riverdale, GA
  • NPI 1174136071
  Medicare reassignment NPD
• Tan Nguyen, FNP

  • Family Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1740704790
  Medicare reassignment NPD
• Jannet Hae Jung Shim, AGNP-C

  • Primary Care Nurse Practitioner
  • Tucker, GA
  • NPI 1790547818
  Medicare reassignment NPD
• Nhung Hoang

  • Physician Assistant
  • Duluth, GA
  • NPI 1174294524
  Medicare reassignment
• Phuong Uyen Bao Nguyen, PA-C

  • Medical Physician Assistant
  • Lilburn, GA
  • NPI 1922827278
  Medicare reassignment

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1528731205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BEAVER RUIN RD NW STE E",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473407",
            "telephone_number": "678-369-9399",
            "fax_number": "770-733-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BEAVER RUIN RD NW STE E",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473407",
            "telephone_number": "678-369-9399",
            "fax_number": "833-464-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Satellite Blvd NE Ste 109&110",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300247181",
            "country_code": "US",
            "telephone_number": "678-369-9399",
            "fax_number": "833-464-3867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUECARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "NGOC",
        "authorized_official_middle_name": "BAO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "678-369-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "frontdesk@truecaremed.net",
            "affiliation": "N",
            "address_1": "625 Beaver Ruin Rd NW Ste E",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300473407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raven Shonice Traylor, LCSW
• Huy Trinh
• Toan Trinh, RPH
• Trivium South Healthcare, LLC
• TRJ Enterprise and Company LLC
• Crystal Nicole Tschantz, DDS
• Christal Tsoiasue
• Alan Charles Tucker, D.D.S.
• Turner Health LLC
• Charra Turner

• Internal Medicine Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.