Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861222911 Individual Practitioner Female Practitioner

Khaai Tran Nguyen , PA-C

Physician Assistant • Saint Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Khaai Nguyen, PA-C is a certified Physician Assistant practicing in Saint Augustine, FL. With approximately 2 years of clinical experience since graduating from Florida State University College Of Medicine in 2024, Khaai Nguyen delivers high-quality medical care to the local community at 200 SOUTHPARK BLVD STE 207.

Khaai Nguyen maintains professional affiliations with Leavitt Medical Associates Of Florida Inc, Southside Dermatology, P.A. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

200 Southpark Blvd Ste 207

Saint Augustine, FL 320863129

Telephone 8664003376
Fax 9048248717
Associated Practice Facility / Clinic
🏢 Dermatological Associates Pc Facility NPI 1043211436

Medicare Profile & Education

Medical School

Florida State University College Of Medicine

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Saint Augustine, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -9.1 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Saint Augustine, FL (10376 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nguyen (2 Years) 2 Yrs
Saint Augustine Specialty Average (11.1 Years) 11.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9119912

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Southside Dermatology, P.a.

4727 Sunbeam Rd, Jacksonville, FL 322576188

Phone: 9048800622

Leavitt Medical Associates Of Florida Inc

200 Southpark Blvd, St Augustine, FL 320863129

Phone: 9043544488

Southside Dermatology, P.a.

1807 3rd St N, Jacksonville Beach, FL 322507491

Phone: 8502056232

Southside Dermatology, P.a.

4727 Sunbeam Rd, Jacksonville, FL 322576187

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicky Gazy

Dermatology

NPI 1104311075
Niti Amin , PA-C

Physician Assistant

NPI 1114356573

Physician Assistant (Certified)

Courtney Oloughlin , PA-C

Physician Assistant

NPI 1124743125

Physician Assistant (Certified)

Dr. Timothy Lian , MD

Otolaryngology - Facial Plastic Surgery

NPI 1154355493

Doctor of Medicine (M.D.)

Hannah Leonard , PA-C

Physician Assistant

NPI 1154871887

Physician Assistant (Certified)

Alice Beard , PA-C

Physician Assistant

NPI 1164532552

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location February 10, 2026

Registered at 200 SOUTHPARK BLVD STE 207, SAINT AUGUSTINE, FL 320863129 (Tel: 8664003376)

📍
Updated Business Mailing Address February 10, 2026

Registered at 151 SOUTHHALL LN STE 300, MAITLAND, FL 327517172 (Tel: 8664003376)

📍
Updated Practice Location June 09, 2025

Registered at 1807 3RD ST N, JACKSONVILLE BEACH, FL 322507491 (Tel: 9048800622)

📍
Updated Business Mailing Address June 09, 2025

Registered at 1807 3RD ST N, JACKSONVILLE BEACH, FL 322507491 (Tel: 9048800622)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2025

Physician Assistant (License #PA9119912 in FL)

NPI Profile Active August 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2024

Registered at 1115 W CALL ST, TALLAHASSEE, FL 323043556 (Tel: 8506441855)

📍
Updated Business Mailing Address August 05, 2024

Registered at 1115 W CALL ST, TALLAHASSEE, FL 323043556 (Tel: 8506441855)

👤
Provider Name / Credentials Updated August 05, 2024

Recorded as KHAAI NGUYEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861222911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2024
Last Update: February 10, 2026
Sole Proprietor: No

Mailing Address

151 Southhall Ln Ste 300

Maitland, FL 327517172

Phone: 8664003376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.