Jesse Robert McAllister, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9105921 Issued in FL

Practice address

4000 Coast Guard Blvd
Portsmouth, VA 23703-2135

Phone

(757) 483-8596

NPI assigned

Oct 27, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1881920809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COAST GUARD BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032135",
            "telephone_number": "757-483-8422",
            "fax_number": "757-686-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COAST GUARD BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032135",
            "telephone_number": "757-483-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "JESSE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005681",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9105921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Biehl Mayer, MS, RD
• Deborah K Mayes
• Kendra Lee Mayes, PHARM.D. R.PH. BCPS
• Bianca Mayfield
• Michael A. Mazzilli, M.D.
• Petra G McAnuff, PMHNP-BC
• Katie Marie McAuliffe, M.D.
• Timothy Wayne McAuliffe Jr., M.A.
• Ashley McBride, LPC
• Jeffrey Patrick McBride, M.D.

• Physician Assistant in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.