Individual provider Active NPI

Alexis Eakin, MS, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1235953142
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066003 Issued in PA
Practice address
1401 S 31St St FL 2
Philadelphia, PA 19146-3506
Phone
(215) 925-2400
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 MA066003 PA Primary

Addresses

Primary practice location

1401 S 31St St FL 2
Philadelphia, PA 19146-3506

Mailing address

339 N Broad St Apt 2504
Philadelphia, PA 19107-1028
Phone (770) 238-6866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20241209003967 PA Practitioner - Physician Assistant 3173059599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Nov 15, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Nov 15, 2024 Accepting new patients

Locations

1401 S 31st St
#2
Philadelphia, PA 19146

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

Interoperability endpoints

  • Direct secure messaging: alexis.eakinpac.p1@direct.gpha.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1235953142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N BROAD ST APT 2504",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071028",
            "telephone_number": "770-238-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "215-925-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKIN",
        "first_name": "ALEXIS",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.