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DR. JAIME MARIE PHAM RODRIGUEZ MD
NPI 1497786784
Pediatrics in Roswell, GA

Active since July 05, 2006PECOS Enrolled
1100 NORTHMEADOW PKWY STE 108, ROSWELL, GA 30076(770) 664-4430 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Aug 31, 2017 (2 updates tracked since 2017).

About Dr. Jaime Marie Pham Rodriguez Md NPPES

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

DR. JAIME MARIE PHAM RODRIGUEZ MD (NPI 1497786784) is an individual pediatrics provider in Roswell, Georgia, licensed in Georgia (058621) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1497786784
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JAIME MARIE PHAM RODRIGUEZCredential: MD
Location Address1100 NORTHMEADOW PKWY STE 108Roswell, GA 30076-3871
Mailing Address1200 Lea DrRoswell, GA 30076-4626
Phone(770) 664-4430
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1497786784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 058621✔ Licensed in NM · MD20060492✔ Licensed in WA · MD00046742✔ Licensed in SC · 25269
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1100 NORTHMEADOW PKWY STE 108, Roswell, GA 30076
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Other Names 1

Former Name (1)Dr. Jaime Marie Pham Md

Secondary Practice Location 1

Location 13650 Steve Reynolds Boulevard, Pediatrics Health Care Team ADuluth, GA 30096 · Phone (404) 365-0966

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaime Marie Pham Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jaime Marie Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
15 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30076 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.

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 Jaime Marie Rodriguez's NPI number?

The NPI number for Jaime Marie Rodriguez is 1497786784. It was assigned to this individual provider in the NPPES registry on July 5, 2006. The provider is also known as Dr. Jaime Marie Pham MD.

Where is Jaime Marie Rodriguez located?

Jaime Marie Rodriguez practices at 1100 Northmeadow Pkwy Ste 108, Roswell, GA 30076. The listed phone number is (770) 664-4430.

What is Jaime Marie Rodriguez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jaime Marie Rodriguez enrolled in Medicare?

Yes. Jaime Marie Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaime Marie Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Marie Rodriguez 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 Jaime Marie Rodriguez'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 Jaime Marie Rodriguez was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.