| Vy Vy Ann Thi Pham, | |
| 11705 Jones Bridge Rd, Johns Creek, GA 30005-5078 | |
| (770) 772-1830 | |
| Not Available | 
| Full Name | Vy Vy Ann Thi Pham | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 11705 Jones Bridge Rd, Johns Creek, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205334661 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN240244 (Georgia) | Primary | 
| Entity Name | The Southeast Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Vy Vy Ann Thi Pham, 4034 Treemont Ln, Suwanee, GA 30024-2367 Ph: () - | Vy Vy Ann Thi Pham, 11705 Jones Bridge Rd, Johns Creek, GA 30005-5078 Ph: (770) 772-1830 | 
| Ashley Koong, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11330 Lakefield Dr Ste 200, Johns Creek, GA 30097 Phone: 678-475-1800 | |
| Minh Anh T Nguyen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5400 Laurel Springs Pkwy Ste 1401, Johns Creek, GA 30024 Phone: 678-208-0165 | |
| Hannah Livingston,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11758 Jones Bridge Rd, Johns Creek, GA 30005 Phone: 770-772-1830 | |
| Mosesal Zakia White,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 Phone: 770-389-9116 | |
| Mrs. Ashley Renee Cason, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11340 Lakefield Dr Ste 200, Johns Creek, GA 30097 Phone: 334-464-0613 | |
| Reagan O'connor, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11705 Jones Bridge Rd, A201, Johns Creek, GA 30005 Phone: 770-772-1830 | |
| Miss Jena Louise Jaragoski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy Ste 110, Johns Creek, GA 30097 Phone: 404-778-8240 |