Individual provider Active NPI

Amanda Doll

  • Physician Assistant
  • Brandon, FL
National Provider Identifier
1467228916
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9119905 Issued in FL
Practice address
1355 Providence Rd
Brandon, FL 33511-4885
Phone
(813) 651-4441
NPI assigned
Nov 27, 2023
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11165 AZ
Physician Assistant 363A00000X 5601012455 MI
Physician Assistant 363A00000X 9119905 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1355 Providence Rd
Brandon, FL 33511-4885

Mailing address

PO Box 1192
Brandon, FL 33509-1192
Phone (813) 651-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240627004066 MI Practitioner - Physician Assistant 9133663495 Reassigns benefits to 2 organizations
I20260324001503 FL Practitioner - Physician Assistant 9133663495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vipul Joshi, MD PAGroup PAC ID 3678507811, 7 clinicians
Pelham Primary Care PCGroup PAC ID 0446524649, 6 clinicians

Practice addresses (Care Compare)

1355 Providence Rd
Brandon, FL 33511-4885
Phone (813) 651-4441

21844 23 Mile Rd
Macomb, MI 48042-4422
Phone (586) 213-1492

3815 Pelham St
Dearborn, MI 48124-3852
Phone (313) 789-7636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11165AZMDPhysician Assistant
9119905FLMDPhysician Assistant
5601012455MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vipul Joshi, MD PA CurrentSince Dec 7, 2025 Accepting new patients

Locations

1355 Providence Rd
Brandon, FL 33511
Phone (813) 651-4441

Interoperability endpoints

  • Direct secure messaging: adoll883582@direct.hfhs.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1467228916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1192",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335091192",
            "telephone_number": "813-651-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-651-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11165",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012455",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119905",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.