Hong Huong Thi Pham

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Practice address

1710 Lake Lucerne Rd SW
Lilburn, GA 30047-4534

Phone

(404) 200-8805

NPI assigned

Feb 13, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Procare Ultrasound

  • Diagnostic Ultrasound Physician
  • Duluth, GA
  • NPI 1417458233

  Physiological Laboratory

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1831699222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965047",
            "telephone_number": "404-200-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 LAKE LUCERNE RD SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474534",
            "telephone_number": "404-200-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HONG HUONG",
        "middle_name": "THI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Penna, LCSW
• Madison Brooke Perkins
• Amara Janae Perodin
• Vacie Perry, RBT
• Britannica Peterson
• Ngoc Bao Phan, D.O
• Physiotherapy Associates Inc
• Tkeyah Kiana Piankhi
• Alexander Pikus, DMD
• Aziz A Pirani, MD

• Physiological Laboratory in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Physiological Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.