KEANG THAI PA
NPI 1265507511
Physician Assistant - Medical in Stockbridge, GA

Q: What is Keang Thai's NPI number?

The NPI number for Keang Thai is 1265507511. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Keang Thai's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Keang Thai was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2006PECOS Enrolled

1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(770) 994-9326(770) 994-4747 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keang Thai Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEANG THAI PA (NPI 1265507511) is an individual medical provider in Stockbridge, Georgia, licensed in Georgia (04179) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265507511

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameKEANG THAICredential: PA

Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085

Mailing Address235 Peachtree St Ne, North Tower, Suite 2100Atlanta, GA 30303-1401 · (770) 994-9326 · Fax (770) 994-4747

Phone(770) 994-9326

Fax(770) 994-4747

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1265507511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 04179

1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keang Thai Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

45 services44 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

17 services17 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIGITTE VANLE MD

Emergency Medicine