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

Q: 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.

Q: What is Emmeleen Phan's specialty?

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

Q: 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.

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: October 25, 2026.

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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 Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Emmeleen Phan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Emergency Specialists Observation Services, LLC

Same address

Emergency Medicine

1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046

Reassigned Medicare billing, Georgia enrollment
134 clinicians in this Medicare group

NPI 1720373129 (954) 939-5000

Gwinnett Emergency Specialists, LLC

Same address

Emergency Medicine

1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046

Reassigned Medicare billing, Georgia enrollment
138 clinicians in this Medicare group

NPI 1437346467 (954) 939-5000

Northside Emergency Associates, LLC

20 mi

Emergency Medicine

1000 JOHNSON FERRY RD
Sandy Springs, GA 30342

Reassigned Medicare billing, Georgia enrollment
162 clinicians in this Medicare group

NPI 1285686303 (954) 939-5000

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

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