JESSICA PHAM
NPI 1902611833
Anesthesiologist Assistant in Atlanta, GA

Q: What is Jessica Pham's NPI number?

The NPI number for Jessica Pham is 1902611833. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Q: What is Jessica Pham's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Pham was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 10, 2025Accepts Medicare Assignment

1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-3900 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2025, Feb 10, 2025 (2 updates tracked since 2025).

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About Jessica Pham NPPES

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

JESSICA PHAM (NPI 1902611833) is an individual anesthesiologist assistant in Atlanta, Georgia and active in the NPI registry since February 2025. She is affiliated with Emory University Hospital and is a graduate of Emory University School Of Medicine (2025).

NPPES Registry Identity

NPI1902611833

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameJESSICA PHAM

Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059

Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1059

Phone(404) 778-3900

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2025

Enumeration DateFebruary 10, 2025

Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1902611833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1364 CLIFTON RD NE, Atlanta, GA 30322

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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

Jessica 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.

PECOS PAC ID3274016779

PECOS Enrollment IDI20260312002925

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

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.

GREGORY WESTON

Student in an Organized Health Care Education/Training Program