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Deactivated NPI 1336299593 Deactivated / Inactive NPI Male Practitioner

Dr. Loc Ngoc Pham , MD

Specialist • Morrow, 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. Loc Pham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2007
NPI Deactivation Date March 26, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Loc Pham, MD was a registered Specialist practicing in Morrow, GA. Throughout an active medical career spanning 19 years, Dr. Pham provided care at the practice location at 1601 LAKE HARBIN RD until profile deactivation on 2026-03-26.

Practice Location & Contact Primary Location

Practice Address

1601 Lake Harbin Rd

Morrow, GA 302601721

Telephone 7709604699
Fax 6784229368

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Morrow, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Morrow, GA (979 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 029360

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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 March 26, 2026

Record deactivated on March 26, 2026

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 1601 LAKE HARBIN RD, MORROW, GA 302601721 (Tel: 7709604699)

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Updated Business Mailing Address July 08, 2007

Registered at 1601 LAKE HARBIN RD, MORROW, GA 302601721 (Tel: 7709604699)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LOC PHAM, M.D.

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

Specialist (License #029360 in GA)

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Initial NPI Registration & Enumeration January 11, 2007

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: 1336299593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2007
Last Update: July 08, 2007
Deactivation Date: March 26, 2026

Mailing Address

1601 Lake Harbin Rd

Morrow, GA 302601721

Phone: 7709604699

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.