Individual provider Active NPI

Thi Le

  • Anesthesiologist Assistant
  • Tallahassee, FL
National Provider Identifier
1073216024
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA892 Issued in FL
Practice address
1894 Merchants Row Blvd Apt 2511
Tallahassee, FL 32311-8806
Phone
(706) 248-5078
NPI assigned
Mar 27, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA892 FL Primary

Addresses

Primary practice location

1894 Merchants Row Blvd Apt 2511
Tallahassee, FL 32311-8806

Mailing address

1894 Merchants Row Blvd Apt 2511
Tallahassee, FL 32311-8806
Phone (706) 248-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231115001683 FL Practitioner - Anesthesiology Assistant 4789031592 Reassigns benefits to 1 organization
I20251002000771 GA Practitioner - Anesthesiology Assistant 4789031592 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Practice addresses (Care Compare)

2061 Peachtree Rd NE
Suite 100
Atlanta, GA 30309-1444
Phone (404) 351-0083

2629 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (954) 939-5000

301 Philip Blvd
Suite B
Lawrenceville, GA 30046-8746
Phone (770) 822-5560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
AA892FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Anesthesia of Georgia LLC CurrentSince Jan 1, 2026 Accepting new patients
Anesthesiology Associates of Tallahassee Inc CurrentSince Oct 16, 2023 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jan 1, 2026 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Sep 12, 2025 Accepting new patients
Anesthesiology Associates of Tallahassee Inc CurrentSince Oct 16, 2023 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

2173 Centerville Pl
Ste A
Tallahassee, FL 32308

2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4500 Hospital Blvd
Ste 200
Roswell, GA 30076
Phone (770) 676-4600

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1073216024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 MERCHANTS ROW BLVD APT 2511",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323118806",
            "telephone_number": "706-248-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 MERCHANTS ROW BLVD APT 2511",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323118806",
            "telephone_number": "706-248-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.