JAKE PARHAM OTR/L
NPI 1790324101
Occupational Therapist - Hand in Fayetteville, GA

Active since January 02, 2020Accepts Medicare Assignment
1275 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214(770) 460-8609 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Feb 10, 2025, Jan 2, 2020 (3 updates tracked since 2020).

About Jake Parham Otr/l NPPES

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

JAKE PARHAM OTR/L (NPI 1790324101) is an individual hand provider in Fayetteville, Georgia, licensed in Georgia (OT008793) and active in the NPI registry since January 2020. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1790324101
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameJAKE PARHAMCredential: OTR/L
Location Address1275 HIGHWAY 54 W STE 200Fayetteville, GA 30214-4538
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 2, 2020
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1790324101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License Licensed in GA · OT008793
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License OT008793 (GA)
1275 HIGHWAY 54 W STE 200, Fayetteville, GA 30214

Accepted 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

Jake Parham Otr/l 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 ID4183139678
PECOS Enrollment IDI20250714003530

Other Providers at the Same Location NPPES 18

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

Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Specialist/Technologist (Athletic Trainer)
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214

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 Jake Parham's NPI number?

The NPI number for Jake Parham is 1790324101. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Where is Jake Parham located?

Jake Parham practices at 1275 Highway 54 W Ste 200, Fayetteville, GA 30214. The listed phone number is (770) 460-8609.

What is Jake Parham's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Jake Parham enrolled in Medicare?

Yes. Jake Parham 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 Jake Parham accept?

Health plans from Alliant Health Plans, Inc. list Jake Parham 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.

When was this NPI record last updated?

The NPPES record for Jake Parham was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.