Doctor profile · Federal record
Dr. Lam Phan, PA
Physician Assistant · Marietta, GA
- NPI 1538114582
- MIPS 90.2 / 100 · 2023
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
677 Church St Ne
Marietta, GA 300601101
(770) 794-0477
fax (770) 794-3108 - Additional location
-
146 Bill Carruth Pkwy
Hiram, GA 301413749 - Additional location
-
2540 Windy Hill RD Se
Marietta, GA 300678605 - Additional location
-
303 Parkway Dr Ne
Atlanta, GA 303121212
(865) 985-7253 - Additional location
-
8954 Hospital Dr
Douglasville, GA 301342272 - Mailing address
-
3120 Swallow Dr Ne
Marietta, GA 300663001
Show 2 more locations
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- August 28, 2019
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Georgia #002176
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538114582. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
24
Distinct HCPCS
1
Medicare allowed
$1,901
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 24 | 24 | $79 |
In context: peer comparison
Among 54 peers in Marietta Physician Assistant, average services per provider: 75. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $19.04 |
By nature of payment
Frequently asked questions
What is Dr. Lam Phan's medical specialty?
Dr. Lam Phan practices Physician Assistant in Marietta, GA.
Where does Dr. Lam Phan practice?
Dr. Lam Phan practices at 677 Church St Ne, Marietta, GA 300601101. Office phone: 7707940477.
What is Dr. Lam Phan's NPI?
Dr. Lam Phan's National Provider Identifier (NPI) is 1538114582, issued by NPPES.
What procedures does Dr. Lam Phan commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.