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DR. EMMELEEN F PHAN MD
NPI 1790741593
Pediatrics in Lawrenceville, GA

Active since April 21, 2006PECOS Enrolled
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-3317(678) 312-4416 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Emmeleen F Phan Md NPPES

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

DR. EMMELEEN F PHAN MD (NPI 1790741593) is an individual pediatrics provider in Lawrenceville, Georgia, licensed in Georgia (054423) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790741593
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. EMMELEEN F PHANCredential: MD
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-3317 · Fax (678) 312-4416
Phone(678) 312-3317
Fax(678) 312-4416
Sole ProprietorYes
Enumeration DateApril 21, 2006
Last NPPES UpdateDecember 30, 2014
✔ NPI 1790741593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 054423
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emmeleen F Phan Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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 20

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

DR. ROBERT E BLACK III MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
HEATHER GAIL KOTULA PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-9905
MR. THOMAS J GLANCY PA-AA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
MS. ANDREA PEYTON MOE PA
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4357
MRS. KATHERINE ELAINE CAMPBELL THOMAS NP
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County No phone listed
SOLOMON GEZAHGN ABEBE
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (229) 299-7476
VEER PATEL
Student in an Organized Health Care Education/Training Program
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-1000
CHINWE OGBODO
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-5280

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 Emmeleen Phan's NPI number?

The NPI number for Emmeleen Phan is 1790741593. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Emmeleen Phan located?

Emmeleen Phan practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-3317.

What is Emmeleen Phan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Emmeleen Phan enrolled in Medicare?

Yes. Emmeleen Phan is registered in the Medicare PECOS enrollment system.

What insurance does Emmeleen Phan accept?

Health plans from Oscar Insurance Company list Emmeleen 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.

When was this NPI record last updated?

The NPPES record for Emmeleen Phan was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.