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TRUECARE MEDICAL LLC
NPI 1528731205
Internal Medicine in Lilburn, GA

Active since July 28, 2021CLIA Certified · 2 labs
625 BEAVER RUIN RD NW STE E, LILBURN, GA 30047(678) 369-9399(833) 464-3867 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2024, Aug 18, 2021, Jul 28, 2021 (3 updates tracked since 2021).

About Truecare Medical Llc NPPES

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

TRUECARE MEDICAL LLC (NPI 1528731205) is a healthcare organization registered as an internal medicine in Lilburn, Georgia and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Suwanee, and lists Ngoc Bao Phan, Provider, as its authorized official.

NPPES Registry Identity

NPI1528731205
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRUECARE MEDICAL LLC
Location Address625 BEAVER RUIN RD NW STE ELilburn, GA 30047-3407
Mailing Address625 Beaver Ruin Rd Nw Ste ELilburn, GA 30047-3407 · (678) 369-9399 · Fax (770) 733-1370
Phone(678) 369-9399
Fax(833) 464-3867
Organization SubpartNo
Authorized OfficialNgoc Bao PhanProvider · (678) 369-9399
Enumeration DateJuly 28, 2021
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1528731205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
625 BEAVER RUIN RD NW STE E, Lilburn, GA 30047
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Secondary Practice Location 1

Location 1302 Satellite Blvd NE Ste 109&110Suwanee, GA 30024-7181 · Phone (678) 369-9399 · Fax (833) 464-3867

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Truecare Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Truecare Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Ngoc Phan, D.O
Internal Medicine
NPI 1215299086
625 BEAVER RUIN RD NW STE E
Lilburn, GA 30047
(678) 369-9399
✔ PECOS✔ Accepts MedicareSame address
Crystal Ho, AGNP-C
Nurse Practitioner
NPI 1346001773
6107 OAKBROOK PKWY
Norcross, GA 30093
(770) 458-6700
✔ PECOS4.4 mi
Tan Nguyen, FNP
Nurse Practitioner
NPI 1740704790
631 PROFESSIONAL DRIVE SUITE 170
Lawrenceville, GA 30046
(678) 312-2663
✔ PECOS✔ Accepts Medicare7.4 mi
Jannet Shim, AGNP-C
Nurse Practitioner
NPI 1790547818
1468 MONTREAL RD
Tucker, GA 30084
(770) 638-1400
✔ PECOS8.9 mi
Son Mai, FNP
Nurse Practitioner
NPI 1174136071
83 UPPER RIVERDALE RD SW STE 135
Riverdale, GA 30274
(770) 907-7222
✔ PECOS27 mi
Nhi-Kieu Nguyen, D.O.
Family Practice
NPI 1194176446
1315 JESSE JEWELL PKWY NE STE 300
Gainesville, GA 30501
(770) 219-9430
✔ PECOS✔ Accepts Medicare33 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2296447

Truecare Medical, LLC · Suwanee, GA
Active · expires Dec 27, 2027
CLIA Number11D2296447
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorNgoc Phan
Laboratory Phone(678) 369-9399
Laboratory LocationTruecare Medical, LLC302 Satellite Blvd, NE, Ste 109 & 110, Suwanee, GA 30024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2239317

Truecare Medical, LLC · Lilburn, GA
Active · expires Oct 11, 2027
CLIA Number11D2239317
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorNgoc Phan
Laboratory Phone(678) 369-9399
Laboratory LocationTruecare Medical, LLC625 Beaver Ruin Road, Suite E, Lilburn, GA 30047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Truecare Medical LLC's NPI number?

The NPI number for Truecare Medical LLC is 1528731205. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Truecare Medical LLC located?

Truecare Medical LLC is located at 625 Beaver Ruin Rd NW Ste E, Lilburn, GA 30047. The listed phone number is (678) 369-9399.

What is Truecare Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Truecare Medical LLC enrolled in Medicare?

Yes. Truecare Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Truecare Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Truecare Medical LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (1) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Truecare Medical LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Truecare Medical LLC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.