ALEXANDER JAMES DICKERSON CAA
NPI 1104602010
Anesthesiologist Assistant in Tampa, FL

Q: What is Alexander Dickerson's NPI number?

The NPI number for Alexander Dickerson is 1104602010. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Q: What is Alexander Dickerson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since September 06, 2023Accepts Medicare Assignment

3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 350-7244 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Sep 6, 2023 (2 updates tracked since 2023).

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About Alexander James Dickerson Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER JAMES DICKERSON CAA (NPI 1104602010) is an individual anesthesiologist assistant in Tampa, Florida, licensed in Florida (AA827) and active in the NPI registry since September 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1104602010

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameALEXANDER JAMES DICKERSONCredential: CAA

Location Address3001 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307

Mailing Address2995 Drew StClearwater, FL 33759-3012 · (727) 281-9065

Phone(813) 350-7244

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 6, 2023

Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1104602010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA827

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander James Dickerson Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022462076

PECOS Enrollment IDI20230926001479, I20250508002782

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

12 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAYLA EDMONDS CAA

Anesthesiologist Assistant