LILY NGOC PHAN
NPI 1316432578
Nurse Practitioner - Family in Stockbridge, GA

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
1240 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281(770) 389-3855(770) 474-8078 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2020, Dec 26, 2018, Aug 12, 2018 and 1 more (4 updates tracked since 2018).

About Lily Ngoc Phan NPPES

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

LILY NGOC PHAN (NPI 1316432578) is an individual family provider in Stockbridge, Georgia, licensed in Georgia (RN247909) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316432578
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILY NGOC PHAN
Location Address1240 EAGLES LANDING PKWY STE 110Stockbridge, GA 30281-5173
Mailing Address1240 Eagles Landing Pkwy Ste 110Stockbridge, GA 30281-5173 · (770) 389-3855 · Fax (770) 474-8078
Fax(770) 474-8078
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateAugust 13, 20204 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1316432578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN247909
1240 EAGLES LANDING PKWY STE 110, Stockbridge, GA 30281

Other Names 1

Former Name (1)Lily Ngoc Ho

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lily Ngoc Phan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244667897
PECOS Enrollment IDI20200220003146, I20260225002114, I20260325002541, I20260410002475
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Lily Phan reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
50 KELLY RD STE 200
Mcdonough, GA 30253
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
Internal Medicine
2255 MONARCH DR
Naperville, IL 60563
  • Reassigned Medicare billing, Georgia, New Hampshire and Ohio enrollments
  • 57 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Georgia enrollment
  • 29 clinicians in this Medicare group
Internal Medicine
707 ARMSTRONG RD
Lansing, MI 48911
  • Reassigned Medicare billing, Michigan enrollment
  • 90 clinicians in this Medicare group
Internal Medicine
68 DEAN ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 32

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
225 services174 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
212 services170 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
212 services168 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
205 services162 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
193 services156 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
167 services136 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Nurse Practitioner (Acute Care)
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Family Medicine
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
1240 EAGLES LANDING PKWY STE 110
STOCKBRIDGE, GA 30281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lily Phan's NPI number?

The NPI number for Lily Phan is 1316432578. It was assigned to this individual provider in the NPPES registry on June 28, 2018. The provider is also known as Lily Ngoc Ho.

Where is Lily Phan located?

Lily Phan practices at 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281. The listed phone number is (770) 389-3855.

What is Lily Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lily Phan enrolled in Medicare?

Yes. Lily Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lily Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Phan reassigns Medicare benefits to 7 organizations: Aylo Health, LLC (Mcdonough, GA), Emory Specialty Associates, LLC (Lagrange, GA), Post Acute Specialists, LLC (Naperville, IL), Theoria Medical (Novi, MI), Complexcare Medical Group Southeast H PLLC (Novi, MI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lily Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Phan accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare, Paramount, Priority Health and UnitedHealthcare and 1 other insurer list Lily Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lily Phan affiliated with any hospitals?

According to CMS data, Lily Phan is affiliated with Concord Hospital- Laconia.

When was this NPI record last updated?

The NPPES record for Lily Phan was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.