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PHONG CHAU TRUONG TRAN PAC
NPI 1407404072
Physician Assistant in Monroe, GA

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
696 BREEDLOVE DR STE A, MONROE, GA 30655(770) 207-5677 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2025, Nov 19, 2019, Aug 27, 2019 (3 updates tracked since 2019).

About Phong Chau Truong Tran Pac NPPES

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

PHONG CHAU TRUONG TRAN PAC (NPI 1407404072) is an individual physician assistant in Monroe, Georgia, licensed in Georgia (9356) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407404072
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePHONG CHAU TRUONG TRANCredential: PAC
Location Address696 BREEDLOVE DR STE AMonroe, GA 30655-2052
Mailing Address696 Breedlove Dr Ste AMonroe, GA 30655-2052
Phone(770) 207-5677
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 27, 2019
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1407404072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 9356
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
696 BREEDLOVE DR STE A, Monroe, GA 30655
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 Oglethorpe Ave Ste 3200Athens, GA 30606-2190 · Phone (706) 549-8931
Location 2150 N Park Trl Ste BStockbridge, GA 30281-7372 · Phone (770) 507-0909 · Fax (770) 509-1919

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phong Chau Truong Tran Pac 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 ID6709219389
PECOS Enrollment IDI20191212002135
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.

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Phong Chau Tran's NPI number?

The NPI number for Phong Chau Tran is 1407404072. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Phong Chau Tran located?

Phong Chau Tran practices at 696 Breedlove Dr Ste A, Monroe, GA 30655. The listed phone number is (770) 207-5677.

What is Phong Chau Tran's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Phong Chau Tran enrolled in Medicare?

Yes. Phong Chau Tran 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.

Is Phong Chau Tran affiliated with any hospitals?

According to CMS data, Phong Chau Tran is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Phong Chau Tran was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.