Genesis Oliver, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9120625 Issued in FL

Practice address

313 S Lakewood Dr
Brandon, FL 33511-2815

Phone

(813) 653-6100

NPI assigned

Aug 27, 2025

Last updated

Sep 3, 2025By 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

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Suncoast Community Health Centers Inc

  dba Ruskin Health Center

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1285644799
  Medicare reassignment NPD
• Suncoast Community Health Centers, Inc

  dba Wimauma Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Wimauma, FL
  • NPI 1518388354
  NPD
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1104836600
  NPD (past)

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1164301008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S LAKEWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112815",
            "telephone_number": "305-606-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S LAKEWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112815",
            "telephone_number": "813-653-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "GENESIS",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120625",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9120625",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9120625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Octavio Oliva Rodriguez, MD
• Adela M Oliva, MD
• Ana Maria Oliva, M.D.
• Robert J Oliva, MD
• Olive Verde Company LLC (Olivo Verde Company, LLC)
• Nicole Celeste Oliver, LMT
• Rachel Anne Oliver, MD
• Zaria Oliver, NP
• Gabriela Karina Olivera Acevedo, MD
• Marisabel De la Caridad Olivera

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.

Verify at the official NPI Registry.