NPIMap

Individual provider Active NPI

Phillip Daniel Alix, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1740037951
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118789 Issued in FL
Practice address
1301 Palm Ave Ste 500
Jacksonville, FL 32207-8432
Phone
(904) 202-7300
Fax
(904) 202-7433
NPI assigned
May 6, 2024
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118789 FL Primary
Surgical Physician Assistant 363AS0400X PA9118789 FL

Addresses

Primary practice location

1301 Palm Ave Ste 500
Jacksonville, FL 32207-8432

Mailing address

1545 Branan Field Rd Ste 1
Middleburg, FL 32068-8429
Phone (904) 450-8575

Other practice location 1

1545 Branan Field Rd Ste 1
Middleburg, FL 32068-8429
Phone (904) 450-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605003051 FL Practitioner - Physician Assistant 5395287387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1545 Branan Field Rd
Suite 1
Middleburg, FL 32068-8429
Phone (904) 450-8575

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Jan 7, 2026 Accepting new patients
Baptist MD Anderson Cancer Physicians Inc Physician Assistant CurrentSince Jun 2, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jan 7, 2026 Accepting new patients

Locations

1301 Palm Ave
Ste 500
Jacksonville, FL 32207

1545 Branan Field Rd
Ste 1
Middleburg, FL 32068
Phone (904) 450-8575

Interoperability endpoints

  • Direct secure messaging: phillip.alix.1@21346.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1740037951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 BRANAN FIELD RD STE 1",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688429",
            "telephone_number": "904-450-8575",
            "fax_number": "904-291-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PALM AVE STE 500",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078432",
            "telephone_number": "904-202-7300",
            "fax_number": "904-202-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Branan Field Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320688429",
            "country_code": "US",
            "telephone_number": "904-450-8575",
            "fax_number": "904-291-3822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIX",
        "first_name": "PHILLIP",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118789",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9118789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.