Thao Kim Pham, PA-C
Individual provider Active NPI Medical Physician Assistant · Engelhard, NC
NPI 1366015448 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1366015448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0010-11951 (NC)
- Practice address
- 33270 US Highway 264
Engelhard, NC 27824-9557 - Phone
- (252) 925-7000
- Fax
- (252) 925-7700
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ocracoke Health Center Inc
Practice addresses (Care Compare)
33270 US Hwy 264
Engelhard, NC 27824-9557
Phone 25292570000
Hospital & facility affiliations
- The Outer Banks Hospital, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220713003119 | NC | Practitioner - Physician Assistant | 9032590633 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocracoke Health Center, Inc. | Current |
Accepting new patients |
Interoperability endpoints
- thao.pham.1@27056.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-11951 | NC | Yes |
Addresses
Primary practice location
33270 US Highway 264
Engelhard, NC 27824-9557
Mailing address
PO Box 277
Engelhard, NC 27824-0277
Phone (252) 925-7000
Other providers in Engelhard, NC
- Beacon Comprehensive Services LLC
- Sally Carson Messick
- Ocracoke Health Center, Inc.
- Ocracoke Health Center, Inc.
- Donald Bruce Spradlin
All providers in Engelhard, NC · Medical Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.