Individual provider Active NPI

Alyssa Nicole Humphrey, MD

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1609002179
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
93758 Issued in GA
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-6413
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28259 SC
Emergency Medicine Physician 207P00000X 253856 NY
Emergency Medicine Physician 207P00000X 036141714 IL
Emergency Medicine Physician 207P00000X Q3011 TX
Emergency Medicine Physician 207P00000X ME104742 FL
Emergency Medicine Physician 207P00000X D87570 MD
Emergency Medicine Physician 207P00000X 52016 CT
Emergency Medicine Physician 207P00000X 93758 GA Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

275 E 200 S Ste 200
Salt Lake City, UT 84111-2002
Phone (800) 366-1884

Other practice location 1

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4444

Other practice location 2

Adventist Healthcare White Oak Medical Center
11890 Healing Way
Silver spring, MD 20904
Phone (240) 686-2300 ext. 2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, TX, SC, IL, DC, GA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20090714000277 FL Practitioner - Emergency Medicine 7416009972 Reassigns benefits to 2 organizations
I20110726000140 NY Practitioner - Emergency Medicine 7416009972 Reassigns benefits to 3 organizations
I20150605001264 TX Practitioner - Emergency Medicine 7416009972 Reassigns benefits to 1 organization
I20160216000860 SC Practitioner - Emergency Medicine 7416009972 Reassigns benefits to 3 organizations
I20160930000518 IL Practitioner - Emergency Medicine 7416009972 Reassigns benefits to 1 organization
I20200218001238 DC Practitioner - Emergency Medicine 7416009972 Reassigns benefits to 3 organizations
I20240529000356 GA Practitioner - Emergency Medicine 7416009972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52016CTMDEmergency Medicine Physician
Q3011TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 26, 2024 Accepting new patients
Interfaith Emergency Medicine, P.C. Emergency Medicine CurrentSince Jul 23, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jan 30, 2020 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince May 15, 2015 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine CurrentSince Jul 26, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jun 15, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 30, 2020 Accepting new patients
Lawrence Medical Associates, PC Current Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Jun 15, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 1, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Dec 10, 2020 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Interfaith Professional Physician Services, P.C. Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Sep 1, 2016 Accepting new patients
Lawrence Medical Associates, PC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Jun 1, 2018 Accepting new patients

Locations (25 of 33)

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

801 E Hillsborough Ave
Tampa, FL 33604
Phone (813) 512-4810

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 2

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1609002179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E 200 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112002",
            "telephone_number": "800-366-1884",
            "fax_number": "866-990-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131122",
            "country_code": "US",
            "telephone_number": "718-613-4444",
            "fax_number": "718-613-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Adventist Healthcare White Oak Medical Center",
            "address_2": "11890 Healing Way",
            "address_purpose": "LOCATION",
            "city": "Silver spring",
            "state": "MD",
            "postal_code": "20904",
            "country_code": "US",
            "telephone_number": "240-686-2300 x2184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "28259",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "253856",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036141714",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q3011",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME104742",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D87570",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "52016",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "93758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.