Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1245336221 Deactivated / Inactive NPI Female Practitioner

Dr. Jenny Thuy Phan , DC

Chiropractor • Duluth, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jenny Phan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2006
NPI Deactivation Date April 24, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jenny Phan, DC was a registered Chiropractor practicing in Duluth, GA. Throughout an active medical career spanning 19 years, Dr. Phan provided care at the practice location at 3675 CRESTWOOD PKWY NW until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

3675 Crestwood Pkwy Nw
Suite 400

Duluth, GA 300961805

Telephone 7708952646
Fax 7709356175
Associated Practice Facility / Clinic
🏢 South Star Transport, Inc Facility NPI 1467709162

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
64 Specialists

Practicing in Duluth, GA (3375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA CHIR007466

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Kenya Norris

Behavior Technician

NPI 1053968230
Dr. Steven Weinstein , PhD

Psychologist - Clinical

NPI 1235208323

Doctor of Philosophy (Ph.D.)

Dr. Julie Friedman , PhD

Psychologist - Clinical

NPI 1427117969

Doctor of Philosophy (Ph.D.)

Dr. Nathan Mascaro , PhD

Psychologist - Clinical

NPI 1720284862

Doctor of Philosophy (Ph.D.)

Anitra Walker , LCSW

Social Worker - Clinical

NPI 1790849420

Licensed Clinical Social Worker

NPI 1811013485

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3675 CRESTWOOD PKWY NW, SUITE 400, DULUTH, GA 300961805 (Tel: 7708952646)

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Updated Business Mailing Address July 08, 2007

Registered at 1434 SYDNEY POND CIR, LAWRENCEVILLE, GA 300453361

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Provider Name / Credentials Updated July 08, 2007

Recorded as JENNY PHAN, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #CHIR007466 in GA)

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Initial NPI Registration & Enumeration September 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245336221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: July 08, 2007
Deactivation Date: April 24, 2025

Mailing Address

1434 Sydney Pond Cir

Lawrenceville, GA 300453361

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.