Active NPI
Adelajda Kore
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114110
- Practice address
- 580 W 8TH St FL 18
Jacksonville, FL 32209-6533 - Phone
- (904) 244-9189
- NPI assigned
- May 6, 2021
- Last updated
- Aug 8, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4909 | SC | |
| Physician Assistant | 363A00000X | PA9114110 | NU | Primary |
Addresses
Primary practice location
580 W 8TH St FL 18
Jacksonville, FL 32209-6533
Mailing address
2118 Willesdon Dr E
Jacksonville, FL 32246-0548
Phone (904) 343-7821
Other practice location 1
3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone (803) 434-8323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000
653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Neurological Surgery | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
580 W 8th St
Fl 18
Jacksonville, FL 32209
Phone (904) 244-9189
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- akore533197@direct.shands.ufl.edu
- akore719526@direct.ghs.myhfn.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1225298599
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1043894025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 WILLESDON DR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322460548",
"telephone_number": "904-343-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W 8TH ST FL 18",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096533",
"telephone_number": "904-244-9189"
}
],
"practiceLocations": [
{
"address_1": "3 Richland Medical Park Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036862",
"country_code": "US",
"telephone_number": "803-434-8323",
"fax_number": "803-434-8326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORE",
"first_name": "ADELAJDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-06",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4909",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": "PA9114110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.