Individual provider Active NPI

Thao Phuong Le, DO

  • Family Medicine Physician
  • Elon, NC
National Provider Identifier
1780811448
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-01541 Issued in NC
Practice address
301 S Okelly Ave
Elon, NC 27244-9382
Phone
(336) 278-7230
Fax
(336) 538-6506
NPI assigned
Jun 19, 2009
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116021227 VA
Family Medicine Physician 207Q00000X 2012-01541 NC Primary

Addresses

Primary practice location

301 S Okelly Ave
Elon, NC 27244-9382

Mailing address

301 S Okelly Ave
Elon, NC 27244-9382

Other practice location 1

102 Pomona Dr
Greensboro, NC 27407-1616
Phone (336) 299-0000

Other names 1

  • Dr. Terry Phuong Le Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000000 NC Practitioner - Family Practice 8527219278 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2012-01541NCMDFamily Medicine Physician
0116021227VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
American Current Care of North Carolina, P.C. CurrentSince Sep 17, 2020 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Apr 21, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Apr 21, 2025 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

7360 W Friendly Ave
Ste 102
Greensboro, NC 27410
Phone (336) 218-8813

Interoperability endpoints

  • Direct secure messaging: tle1066481@direct.novanthealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1780811448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S OKELLY AVE",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S OKELLY AVE",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449382",
            "telephone_number": "336-278-7230",
            "fax_number": "336-538-6506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Pomona Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071616",
            "country_code": "US",
            "telephone_number": "336-299-0000",
            "fax_number": "336-299-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "THAO",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116021227",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-01541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "LE",
            "middle_name": "PHUONG",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elon, NC

Sources for this page

Verify at the official NPI Registry.