Active NPI
Pham General Surgery, P.C.
- Surgery Physician
- Jesup, GA
National Provider Identifier
1043696784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 66884
- Legal business name
- PHAM GENERAL SURGERY, P.C.
- Practice address
- 144 W Cherry St
Jesup, GA 31545-1309 - Phone
- (216) 832-8071
- NPI assigned
- Aug 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Quynhanh Hoang Thi Pham, M.D.
- Title
- President
- Phone
- (216) 832-8071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 66884 | GA | Primary |
Addresses
Primary practice location
144 W Cherry St
Jesup, GA 31545-1309
Mailing address
PO Box 1469
Jesup, GA 31598-6469
Phone (216) 832-8071
National Provider Directory
National Provider DirectoryLocations
144 W Cherry St
Jesup, GA 31545
Phone (216) 832-8071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438732800000",
"number": "1043696784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1469",
"city": "JESUP",
"state": "GA",
"postal_code": "315986469",
"telephone_number": "216-832-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W CHERRY ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315451309",
"telephone_number": "216-832-8071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHAM GENERAL SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "QUYNHANH",
"authorized_official_middle_name": "HOANG THI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-832-8071",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "66884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.