James Patrick Adair II, PA-C
Individual provider Active NPI Physician Assistant · Pensacola, FL
NPI 1265425243 · NPPES record last updated Feb 21, 2014
Key facts
- NPI
- 1265425243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9105301 (FL)
- Practice address
- 4541 N Davis Hwy
Suite a
Pensacola, FL 32503-2783 - Phone
- (850) 494-9000
- Fax
- (850) 474-4123
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sacred Heart Health System Inc
Practice addresses (Care Compare)
4451-A N Davis Hwy
Sacred Heart Medical Group
Pensacola, FL 32503-2782
Phone (850) 494-9000
4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000
4501 N Davis Hwy
Suite C
Pensacola, FL 32503-2724
Phone (850) 416-4960
4541-A N Davis Hwy
Sacred Heart Medical Group
Pensacola, FL 32503-2733
Phone (850) 494-9000
5151 N 9TH Ave
Suite 200
Pensacola, FL 32504-8721
Phone (850) 416-4188
Hospital & facility affiliations
- Sacred Heart Hospital
- Baptist Hospital
- Gulf Breeze Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100305000653 | FL | Practitioner - Physician Assistant | 5991766073 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105301 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current |
Accepting new patients | |
| Sacred Heart Health System Inc | Current |
Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Mercy Orthopaedic Trauma Services, LLC | Past | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
4541 N Davis Hwy
Ste A
Pensacola, FL 32503
5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
Interoperability endpoints
- james.adair.1@9582.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105301 | FL | Yes |
Addresses
Primary practice location
4541 N Davis Hwy
Suite a
Pensacola, FL 32503-2783
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 494-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97394 | Other | FL | MEDICARE |
| 001808600 | Medicaid | FL |
Other providers in Pensacola, FL
- Kelly A Acker
- Acts Retirement-Life Communities
- Acts Retirement-Life Communities Inc.
- Acts Retirement-Life Communities, Inc.
- Acts Signature Community Services, Inc.
- Jonathan Edward Adair
- Kristina Renee Adam
- Alex Matthew Adams
- Brandi Adams
- Christopher Denman Adams
All providers in Pensacola, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.