Individual provider Active NPI

Thai Bao Tran, NP

  • Nurse Practitioner
  • Myrtle Beach, SC
National Provider Identifier
1972195527
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26043 Issued in SC
Practice address
920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181
Phone
(843) 497-6348
Fax
(843) 497-6351
NPI assigned
Feb 5, 2021
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5014070 NC
Nurse Practitioner 363L00000X 26043 SC Primary
Acute Care Nurse Practitioner 363LA2100X 26043 SC
Adult Health Nurse Practitioner 363LA2200X 5014070 NC
Gerontology Nurse Practitioner 363LG0600X 26043 SC

Addresses

Primary practice location

920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181

Mailing address

920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181
Phone (843) 497-6348

Other practice location 1

2 Medical Park Rd Ste 300
Columbia, SC 29203-6839
Phone (803) 434-8800

Other practice location 2

101 E Wt Harris Blvd
Ste 5500A
Charlotte, NC 28262-3485
Phone (704) 863-1520

Other practice location 3

200 Medical Park Dr
Ste 430
Concord, NC 28025-2982
Phone (704) 403-7070

Other practice location 4

1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204-2963
Phone (704) 355-1813

Other practice location 5

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-4490

Other practice location 6

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address ttran531123@CarolinasHealthcareSystem.direct-ci.com Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210406001720 NC Practitioner - Nurse Practitioner 9335556513 Reassigns benefits to 5 organizations
I20220715000158 SC Practitioner - Nurse Practitioner 9335556513 Reassigns benefits to 1 organization
I20240320001368 TX Practitioner - Nurse Practitioner 9335556513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Intensivists, PLLCGroup PAC ID 2264896364, 39 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Suite 4402
Asheville, NC 28801-0328
Phone (828) 213-1990

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5014070NCMDAdult Health Nurse Practitioner
26043SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Mar 29, 2021 Accepting new patients
Gulf Coast Intensivists, PLLC Nurse Practitioner CurrentSince Feb 7, 2024 Accepting new patients
Mission Community Anesthesiology Specialists LLC Nurse Practitioner CurrentSince Jul 2, 2024 Accepting new patients
Carolinas Medical Center Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Mar 29, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 29, 2021 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jul 2, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 13, 2022 Accepting new patients
Southeast Texas Intensivists, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 29, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Mar 29, 2021 Accepting new patients
Carolinas Medical Center CurrentSince Mar 29, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority PastSince Aug 1, 2020 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients
Coastal Carolina Multispecialty Associates, LLC PastSince Jul 1, 2022 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1 Hospital Dr
Ste 4402
Asheville, NC 28801
Phone (828) 213-1990

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 5500A
Charlotte, NC 28262
Phone (704) 863-1520

1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204
Phone (704) 355-1813

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

200 Medical Park Dr
Ste 430
Concord, NC 28025
Phone (704) 403-5890

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: thai.tran@hca5.eclinicaldirectplus.com
  • Direct secure messaging: ttran531123@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1972195527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 210",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724181",
            "telephone_number": "843-497-6348",
            "fax_number": "843-497-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 210",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724181",
            "telephone_number": "843-497-6348",
            "fax_number": "843-497-6351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Medical Park Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036839",
            "country_code": "US",
            "telephone_number": "803-434-8800",
            "fax_number": "803-434-8802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Wt Harris Blvd",
            "address_2": "Ste 5500A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623485",
            "country_code": "US",
            "telephone_number": "704-863-1520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Park Dr",
            "address_2": "Ste 430",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252982",
            "country_code": "US",
            "telephone_number": "704-403-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Morehead Medical Dr",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042963",
            "country_code": "US",
            "telephone_number": "704-355-1813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THAI",
        "middle_name": "BAO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014070",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26043",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "26043",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5014070",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "26043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttran531123@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1350 S Kings Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282072134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.