VY VY ANN THI PHAM
NPI 1205334661
Nurse Practitioner - Family in Johns Creek, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Vy Vy Ann Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
JOHNS CREEK, GA 30005
JOHNS CREEK, GA 30005
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.
Which organization bills Medicare for Vy Vy Ann Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vy Vy Ann Pham reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vy Vy Ann Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Vy Vy Ann Thi Pham · NPI 1205334661
Family physician in Johns Creek, Georgia. Individual provider, active in the CMS NPPES registry since January 30, 2018.
## Identity
- **NPI:** 1205334661 (Entity type: Individual)
- **Enumerated:** January 30, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN240244 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11705 JONES BRIDGE RD, Johns Creek, GA 30005-5078
- **Phone:** (770) 772-1830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205334661) · Data from the CMS NPPES public registry.