Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khaai Tran Nguyen, PA-C

Individual provider Physician Assistant · NPI 1861222911

Khaai Tran Nguyen, PA-C is a Physician Assistant in Saint Augustine, Florida. Graduated from Florida State University College of Medicine in 2024, 2 years ago. Practices with Southside Dermatology, PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Trained at
Florida State University College of Medicine
Licensed in
FL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Southpark Blvd Ste 207
Saint Augustine, FL 32086-3129
Phone: (866) 400-3376
Fax: (904) 824-8717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119912 (FL)

Record details

NPI number1861222911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Southside Dermatology, P.A. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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