Individual provider Active NPI

Peter Tuan Tran, D.O.

  • Urology Physician
  • Griffin, GA
National Provider Identifier
1891864203
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
101554 Issued in GA
Practice address
619 S 8TH St Ste 200
Griffin, GA 30224-4260
Phone
(470) 267-2940
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 011479 AZ
Urology Physician 208800000X DOS 1625 HI
Urology Physician 208800000X 5943 TN
Urology Physician 208800000X 101554 GA Primary

Addresses

Primary practice location

619 S 8TH St Ste 200
Griffin, GA 30224-4260

Mailing address

3-3420 Kuhio Hwy Ste B
Lihue, HI 96766-1098
Phone (808) 245-1505

Other practice location 1

340 S Willard St Ste 101
Cottonwood, AZ 86326-4126
Phone (928) 649-7970

Other practice location 2

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1042
Phone (808) 245-1505

Other practice location 3

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 4

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 5

2204 Pavilion Dr Ste 310
Kingsport, TN 37660-4653
Phone (423) 857-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, GA, TN, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150722005218 HI Practitioner - Urology 4284854894 Reassigns benefits to 1 organization
I20241108000677 GA Practitioner - Urology 4284854894 Reassigns benefits to 2 organizations
I20241212003769 TN Practitioner - Urology 4284854894 Reassigns benefits to 1 organization
I20250224000747 AZ Practitioner - Urology 4284854894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

340 S Willard St
Cottonwood, AZ 86326-4126
Phone (928) 639-6025

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 224-3220

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

619 S 8TH St
Griffin, GA 30224-4260

Hospital & facility affiliations

  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
79.9
Promoting interoperability
99
Improvement activities
40
Cost
82.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011479AZMDUrology Physician
101554GAMDUrology Physician
DOS 1625HIMDUrology Physician
5943TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc Family Medicine Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 25, 2024 Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Feb 11, 2025 Accepting new patients
Kauai Medical Clinic CurrentSince Jul 21, 2015 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Feb 11, 2025 Accepting new patients
Tift Regional Health System Inc CurrentSince Oct 3, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 15, 2025 Accepting new patients
Wellmont Medical Associates Inc Family Medicine CurrentSince Oct 25, 2024 Accepting new patients
Kauai Medical Clinic CurrentSince Jul 21, 2015 Accepting new patients
Tift Regional Health System Inc. CurrentSince Oct 3, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 15, 2025 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

340 S Willard St
Ste 201
Cottonwood, AZ 86326
Phone (928) 634-5551

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

619 S 8th St
Ste 200
Griffin, GA 30224
Phone (770) 227-1587

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

1946 Young St
Ste 320
Honolulu, HI 96826

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

1 Medical Park Blvd
Fl 5
Bristol, TN 37620
Phone (423) 844-1121

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2204 Pavilion Dr
Ste 310
Kingsport, TN 37660
Phone (423) 224-3900

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1891864203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY STE B",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661098",
            "telephone_number": "808-245-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST STE 200",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244260",
            "telephone_number": "470-267-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Willard St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264126",
            "country_code": "US",
            "telephone_number": "928-649-7970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3-3420 Kuhio Hwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661042",
            "country_code": "US",
            "telephone_number": "808-245-1505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Pavilion Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604653",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PETER",
        "middle_name": "TUAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "011479",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "DOS 1625",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "5943",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "101554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.