LAM TRONG PHAN PA
NPI 1538114582
Physician Assistant in Marietta, GA


Quality Rating: 92.93 out of 100 score

NPI Status: Active since May 24, 2006

Contact Information

677 CHURCH ST NE
MARIETTA, GA
ZIP 30060
Phone: (770) 794-0477
Fax: (770) 794-3108

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  • Individual
  • Male
  • Physician Assistant
  • Accepts Insurance

About LAM PHAN

This page provides the complete NPI Profile along with additional information for Lam Phan, a primary care provider established in Marietta, Georgia with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1538114582 assigned on May 2006. The practitioner's primary taxonomy code is 363A00000X with license number 002176 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1538114582
Provider Name
LAM TRONG PHAN PA
Gender
Male
Entity Type
Individual
Location Address
677 CHURCH ST NE MARIETTA, GA 30060
Location Phone
(770) 794-0477
Location Fax
(770) 794-3108
Mailing Address
3120 SWALLOW DR NE MARIETTA, GA 30066
Is Sole Proprietor?
No
Enumeration Date
05-24-2006
Last Update Date
08-28-2019
Code Navigator

A primary care provider (PCP) like Lam Phan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 146 Bill Carruth Pkwy
    Hiram, GA 30141
    (770) 794-0477
  • 8954 Hospital Dr
    Douglasville, GA 30134
    (770) 794-0477
  • 2540 Windy Hill Rd SE
    Marietta, GA 30067
    (770) 794-0477
  • 303 Parkway Dr NE
    Atlanta, GA 30312
    (865) 985-7253

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
002176
License State
GA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 25 times for 23 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 14 times for 14 patients

Anesthesia for other procedure on upper abdomen

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

This service was performed 11 times for 11 patients

Anesthesia for procedure to assess heart electrical activity

Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.

This service was performed 13 times for 13 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.93, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.93 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 80.38

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538114582, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 2 + 1 + 8 + 5 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1538114582.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Cytopathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE, BOX 111
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Pharmacist
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
677 CHURCH ST NE
MARIETTA, GA 30060
Hospitalist
677 CHURCH ST NE, BOX 111
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Psychiatry & Neurology (Clinical Neurophysiology)
677 CHURCH ST NE
MARIETTA, GA 30060
Hospitalist
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine (Critical Care Medicine)
677 CHURCH ST NE
MARIETTA, GA 30060
Pediatrics
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
677 CHURCH ST NE
MARIETTA, GA 30060
Psychiatry & Neurology (Neurology)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
677 CHURCH ST NE
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538114582, enumerated as an "individual" on May 24, 2006.

The provider is located at 677 CHURCH ST NE MARIETTA, GA 30060 and the phone number is (770) 794-0477.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.