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MR. TAM THANH PHAM PMHNP
NPI 1609539618
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since October 17, 2021PECOS EnrolledAccepts Medicare Assignment
1200 ALTMORE AVE STE 200, ATLANTA, GA 30342(678) 426-2930(404) 256-2795 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Jun 5, 2023, Oct 17, 2021 (3 updates tracked since 2021).

About Mr. Tam Thanh Pham Pmhnp NPPES

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

MR. TAM THANH PHAM PMHNP (NPI 1609539618) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (APRN-NP253843) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609539618
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. TAM THANH PHAMCredential: PMHNP
Location Address1200 ALTMORE AVE STE 200Atlanta, GA 30342-2495
Mailing Address1200 Altmore Ave Ste 200Atlanta, GA 30342-2495 · (678) 426-2930 · Fax (404) 256-2795
Phone(678) 426-2930
Fax(404) 256-2795
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 17, 2021
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1609539618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · APRN-NP253843
Also ListedRegistered NurseTaxonomy 163W00000X · License RN253843 (GA)
1200 ALTMORE AVE STE 200, Atlanta, GA 30342
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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

Mr. Tam Thanh Pham Pmhnp 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 ID1850750159
PECOS Enrollment IDI20230705001733
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 30342 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 11

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

KATTEGUMMULA ANJALI REDDY LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
LARVITTA SHAWNET BAILEY LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
SANDY SPRINGS, GA 30342
Fulton County (770) 282-7123
LOVELYNE JOSEPH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
MRS. CHELSEA PATRICE WARD-SMITH LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
MS. JAMONICA TONIA THOMPSON LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
SANDY SPRINGS, GA 30342
Fulton County (678) 426-2930
ELISSA LYNN SANDERS LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
ASHLEY LE'ANN HEGGINS LCSW
Social Worker (Clinical)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
SHAQUTIA SHENA FLORENCE LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930

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 Tam Pham's NPI number?

The NPI number for Tam Pham is 1609539618. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Where is Tam Pham located?

Tam Pham practices at 1200 Altmore Ave Ste 200, Atlanta, GA 30342. The listed phone number is (678) 426-2930.

What is Tam Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tam Pham enrolled in Medicare?

Yes. Tam 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 Tam Pham was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.