NPI age
20 years
Enumerated 2006-01-09
● Active
Type 1 · Individual
Loc B Pham, MD
Pham is 1 of 74 anesthesiology providers in Marietta and 1 of 1712 in Georgia.
Primary specialty
Anesthesiology
Plus 5 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1712 active anesthesiology providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
4
In the 37% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
677 Church St Ne
Marietta, GA 300601101
Mailing address
531 Roselane St Nw Ste 830
Marietta, GA 300606979
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
2540 Windy Hill Rd Se
Marietta, GA 300678605
Location 3
8954 Hospital Dr
Douglasville, GA 301342272
Location 4
146 Bill Carruth Pkwy
Hiram, GA 301413749
Location 5
745 Poplar Rd
Newnan, GA 302651618
Specialties
-
Anesthesiology PrimaryAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
-
AnesthesiologyAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs...
-
AnesthesiologyAn anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services...
-
Pain MedicinePain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention...
-
Pain MedicineInterventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 050074254 | MCRR |
| 05 (TN) | 3851898 | |
| 01 (TN) | 100030563 | PHP TENNCARE |
| 01 (TN) | 3146471 | BLUECARE |
| 01 (TN) | 3146471 | BLUECROSS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.