Alexis Prickett Adams

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113188 Issued in FL

Practice address

203 W Bloomingdale Ave
Brandon, FL 33511-7404

Phone

(813) 654-1110

NPI assigned

Oct 19, 2018

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Mary Alexis Prickett Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Florida Medical Clinic LLC

  • Clinic/Center
  • Zephyrhills, FL
  • NPI 1821055690
  Medicare reassignment NPD
• Synergic Healthcare Solutions LLC

  dba Fast Track Urgent Care Center

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1063718013
  Medicare reassignment
• Florida Medical Clinic, LLC

  dba Florida Medical Clinic Pharmacy

  • Pharmacy
  • Zephyrhills, FL
  • NPI 1669548020
  NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Apollo Beach, FL
  • NPI 1003575390
  NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Punta Gorda, FL
  • NPI 1174336119
  NPD
• Synergic Healthcare Solutions LLC

  dba Fast Track Urgent Care Center

  • General Practice Physician
  • Wesley Chapel, FL
  • NPI 1194198382
  NPD
• Medi Brandon LLC

  • Family Medicine Physician
  • Brandon, FL
  • NPI 1033566161
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1114493889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117404",
            "telephone_number": "813-654-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117404",
            "telephone_number": "813-654-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Somerton Pl",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292090824",
            "country_code": "US",
            "telephone_number": "803-603-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ALEXIS",
        "middle_name": "PRICKETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113188",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PRICKETT",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Active Adult Care, LLC
• Active Assisted Living LLC
• Active Care Chiropractic & Rehabilitation, L.L.C.
• Active Care Endodontics
• Acupuncture and Natural Medicine LLC
• Amanda Adams, ARNP-C
• Adds01 LLC (Great White Dental)
• Adeanna Jenae Adebayo
• Adelphie Home Health Care, LLC
• Omolara Grace Adeniran, MD

• Physician Assistant in Brandon, FL
• Providers in Brandon, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.