VY VY ANN THI PHAM
NPI 1205334661
Nurse Practitioner - Family in Johns Creek, GA

Active since January 30, 2018PECOS EnrolledAccepts Medicare Assignment
11705 JONES BRIDGE RD, JOHNS CREEK, GA 30005(770) 772-1830 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vy Vy Ann Thi Pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VY VY ANN THI PHAM (NPI 1205334661) is an individual family provider in Johns Creek, Georgia, licensed in Georgia (RN240244) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205334661
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVY VY ANN THI PHAM
Location Address11705 JONES BRIDGE RDJohns Creek, GA 30005-5078
Mailing Address4034 Treemont LnSuwanee, GA 30024-2367
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 30, 2018
Last NPPES UpdateJanuary 7, 2022
NPI 1205334661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN240244
11705 JONES BRIDGE RD, Johns Creek, GA 30005

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vy Vy Ann Thi Pham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921338245
PECOS Enrollment IDI20190928000018
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30005 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
11705 JONES BRIDGE RD, A201
JOHNS CREEK, GA 30005
Physical Medicine & Rehabilitation
11705 JONES BRIDGE RD, SUITE D101
JOHNS CREEK, GA 30005
Emergency Medicine (Emergency Medical Services)
11705 JONES BRIDGE RD, SUITE A201
JOHNS CREEK, GA 30005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vy Vy Ann Pham's NPI number?

The NPI number for Vy Vy Ann Pham is 1205334661. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Vy Vy Ann Pham located?

Vy Vy Ann Pham practices at 11705 Jones Bridge Rd, Johns Creek, GA 30005. The listed phone number is (770) 772-1830.

What is Vy Vy Ann Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vy Vy Ann Pham enrolled in Medicare?

Yes. Vy Vy Ann Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vy Vy Ann Pham was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.