Active NPI
Angel Pham, CAA
- Anesthesiologist Assistant
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA893
- Practice address
- 1894 Merchants Row Blvd Apt 2511
Tallahassee, FL 32311-8806 - Phone
- (502) 804-6717
- NPI assigned
- Apr 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA893 | FL | Primary |
| Anesthesiologist Assistant | 367H00000X | 13394 | GA |
Addresses
Primary practice location
1894 Merchants Row Blvd Apt 2511
Tallahassee, FL 32311-8806
Mailing address
1894 Merchants Row Blvd Apt 2511
Tallahassee, FL 32311-8886
Phone (502) 804-6717
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
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
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
2629 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13394 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Past | Accepting new patients |
Locations
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
4500 Hospital Blvd
Ste 200
Roswell, GA 30076
Phone (770) 676-4600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1922772037
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1770257883
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1831171990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Capital Hospital
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1780370452",
"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": "323118886",
"telephone_number": "502-804-6717"
},
{
"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": "502-804-6717"
}
],
"practiceLocations": [
{
"address_1": "1000 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467694",
"country_code": "US",
"telephone_number": "678-312-1000",
"fax_number": "678-312-3282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "ANGEL",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA893",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "13394",
"primary": false
}
],
"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 11, 2025; 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.