Individual provider Active NPI

Cally O. Adkins, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1184026015
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111191 Issued in FL
Practice address
5573 Marquesas Cir Unit B
Sarasota, FL 34233-3332
Phone
(407) 492-6483
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111191 FL Primary

Addresses

Primary practice location

5573 Marquesas Cir Unit B
Sarasota, FL 34233-3332

Mailing address

1846 Jasmine Dr
Sarasota, FL 34239-6005
Phone (407) 492-6483

Other practice location 1

600 N Cattlemen Rd Ste 100
Sarasota, FL 34232-6422
Phone (941) 241-2595

Other identifiers 1

IdentifierTypeStateIssuer
2040627MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9111191FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1184026015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 JASMINE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396005",
            "telephone_number": "407-492-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5573 MARQUESAS CIR UNIT B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333332",
            "telephone_number": "407-492-6483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Cattlemen Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342326422",
            "country_code": "US",
            "telephone_number": "941-241-2595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "CALLY",
        "middle_name": "O.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040627",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.