Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mason Pham

Individual provider Certified Registered Nurse Anesthetist · NPI 1144905886

Mason Pham is registered under Certified Registered Nurse Anesthetist (CRNA) in Harrogate, Tennessee. Qualified in 2025, 1 year ago. Practices with Commonwealth Anesthesia, PSC, a 178-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2023
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Practice location Address checks out

6965 Cumberland Gap Pkwy
Harrogate, TN 37752-8231
Phone: (423) 869-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4050471 (KY)

Record details

NPI number1144905886
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2023
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Commonwealth Anesthesia, Psc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Commonwealth Anesthesia, PSC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 178 clinicians in the practice; 12 are shown here.

Other providers in Harrogate