Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicolas Thong Pham, MD

Individual provider Internal Medicine Physician · NPI 1083226708

Dr. Nicolas Thong Pham, MD is an Internal Medicine in Loganville, Georgia. Qualified in 2017, 9 years ago. Practices with Gwinnett Physician Group, LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

115 Lee Byrd Rd
Loganville, GA 30052-2310
Phone: (770) 554-4717
Fax: (770) 554-4681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 97811 (GA)

Record details

NPI number1083226708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address115 Lee Byrd Rd, Loganville, GA 30052-2310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Gwinnett Physician Group, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Loganville