Individual provider Active NPI

Kari Nhi Pham, PA-C

  • Physician Assistant
  • Bartlett, TN
National Provider Identifier
1962285825
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6013 Issued in TN
Practice address
6490 Memphis Arlington Rd Ste 106
Bartlett, TN 38135-7439
Phone
(901) 762-1531
Fax
(901) 762-1532
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6013 TN Primary

Addresses

Primary practice location

6490 Memphis Arlington Rd Ste 106
Bartlett, TN 38135-7439

Mailing address

4772 Navy Rd Ste a
Millington, TN 38053-1957
Phone (901) 873-0570

Other practice location 1

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002712 TN Practitioner - Physician Assistant 5991242000 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, shared by 26 NPIs, 1,390 clinicians
Hamad Ahmad MD PCGroup PAC ID 0749553816, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

4515 Coors Blvd NW
Albuquerque, NM 87120-3699
Phone (505) 596-2200

4772 Navy Rd
Suite a
Millington, TN 38053-1927
Phone (901) 873-0930

6490 Memphis Arlington Rd
Suite 106
Bartlett, TN 38135-7439
Phone (901) 762-1531

853 W Poplar Ave
Collierville, TN 38017-2545
Phone (901) 673-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamad Ahmad MD PC CurrentSince Jun 25, 2024 Accepting new patients
Hamad Ahmad MD PC CurrentSince Jun 25, 2024 Accepting new patients
Hamad Ahmad MD PC CurrentSince Jun 25, 2024 Accepting new patients
Ut Regional One Physicians Inc Physician Assistant CurrentSince Dec 1, 2024 Accepting new patients
A.T. Still University - College for Healthy Communities PastSince Sep 14, 2025 Accepting new patients

Locations

853 W Poplar Ave
Collierville, TN 38017
Phone (901) 673-1240

9301 Poplar Ave
Germantown, TN 38138
Phone (901) 587-6100

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

4772 Navy Rd
Ste A
Millington, TN 38053
Phone (901) 873-0570

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1962285825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD STE A",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531957",
            "telephone_number": "901-873-0570",
            "fax_number": "901-873-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 MEMPHIS ARLINGTON RD STE 106",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381357439",
            "telephone_number": "901-762-1531",
            "fax_number": "901-762-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032807",
            "country_code": "US",
            "telephone_number": "901-545-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KARI",
        "middle_name": "NHI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.