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

Tina Le Tran

Individual provider Physician Assistant · NPI 1154045540

Tina Le Tran is a Physician Assistant in Lagrange, Georgia. Qualified in 2024, 2 years ago. Practices with Gastrointestinal Specialist of Georgia, a 35-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

413 Lakeview Way
Lagrange, GA 30241-8792
Phone: (404) 647-3051
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12106 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1154045540
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2022
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address413 Lakeview Way, Lagrange, GA 30241-8792

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gastrointestinal Specialist Of Georgia — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lagrange