DR. JOHN PHAM M.D.
NPI 1326429002
Psychiatry & Neurology - Neurology in Atlanta, GA

Q: What is John Pham's NPI number?

The NPI number for John Pham is 1326429002. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Q: What is John Pham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for John Pham was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment

1968 PEACHTREE RD NW, ATLANTA, GA 30309(404) 367-3014 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2021, Feb 7, 2021, Jan 30, 2016 (3 updates tracked since 2016).

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About Dr. John Pham M.d. NPPES

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

DR. JOHN PHAM M.D. (NPI 1326429002) is an individual neurology provider in Atlanta, Georgia, licensed in Georgia (83090) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Ohio State University College Of Medicine (2015).

NPPES Registry Identity

NPI1326429002

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JOHN PHAMCredential: M.D.

Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281

Mailing Address1365 Clifton Rd Ne, Ste B6200Atlanta, GA 30322-1013

Phone(404) 367-3014

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2015

Enumeration DateJune 17, 2015

Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration

NPPES CertifiedJuly 28, 2021

✔ NPI 1326429002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in GA · 83090

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1968 PEACHTREE RD NW, Atlanta, GA 30309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Dr. John Pham M.d. 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 ID2668776188

PECOS Enrollment IDI20210217000700

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

132 services62 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

48 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services38 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110192

Location1700 Medical WaySnellville, GA 30078 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

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 20

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

TRACY PURCELL NICHOLAS NP

Nurse Practitioner (Acute Care)

1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309

Fulton County (404) 605-4602

JINAL ACHYUTKUMAR KHAMAR CAA

Anesthesiology

1968 PEACHTREE RD NW
ATLANTA, GA 30309

Fulton County (404) 605-5000

BRITTANY R BARRON

Nurse Anesthetist, Certified Registered

1968 PEACHTREE RD NW
ATLANTA, GA 30309

Fulton County (404) 451-0960

ELIZABETH ELOISE COTTEN PA-C

Physician Assistant

1968 PEACHTREE RD NW
ATLANTA, GA 30309

Fulton County (404) 367-3014

DEBORA LOU COURSEY-PRAH MD

Radiology (Diagnostic Radiology)

1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309

Fulton County (404) 605-5000

CAROLINE MCCOY ANP-BC

Nurse Practitioner (Adult Health)

1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309

Fulton County (404) 605-4358

CHARITA MERCHANT CRNA

Nurse Anesthetist, Certified Registered

1968 PEACHTREE RD NW
ATLANTA, GA 30309

Fulton County (678) 216-0771

TAYLOR JONES PA-C

Physician Assistant

1968 PEACHTREE RD NW
ATLANTA, GA 30309

Fulton County (470) 788-1010

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 John Pham's NPI number?

The NPI number for John Pham is 1326429002. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is John Pham located?

John Pham practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 367-3014.

What is John Pham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is John Pham enrolled in Medicare?

Yes. John 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.

What insurance does John Pham accept?

Health plans from Alliant Health Plans, Inc. list John Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Pham affiliated with any hospitals?

According to CMS data, John Pham is affiliated with Piedmont Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for John Pham was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.