Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thai Bao Tran, NP

Individual provider Nurse Practitioner · NPI 1972195527

Thai Bao Tran, NP is a Nurse Practitioner in Myrtle Beach, South Carolina. Qualified in 2020, 6 years ago. Practices with Mission Health Community Multispecialty Providers LLC, a 598-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
6
Licensed in
NC, SC
In the registry since
2021
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-1813
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-4490
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255
  • 101 E Wt Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-1520
  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-7070

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26043 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5014070 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5014070 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26043 (SC)

Record details

NPI number1972195527
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mission Health Community Multispecialty Providers Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach