ALEX DOHERTY
NPI 1740057793
Physician Assistant in Jacksonville, FL

Q: What is Alex Doherty's NPI number?

The NPI number for Alex Doherty is 1740057793. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Q: What is Alex Doherty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Doherty was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2023PECOS EnrolledAccepts Medicare Assignment

6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216(904) 245-8910 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alex Doherty NPPES

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

ALEX DOHERTY (NPI 1740057793) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, is affiliated with Crisp Regional Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740057793

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameALEX DOHERTY

Location Address6675 CORPORATE CENTER PKWY STE 115Jacksonville, FL 32216-8088

Mailing Address8450 Gate Pkwy W Unit 421Jacksonville, FL 32216-1081

Phone(904) 245-8910

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 11, 2023

NPPES CertifiedDecember 9, 2023

✔ NPI 1740057793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6675 CORPORATE CENTER PKWY STE 115, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Alex Doherty 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 ID2062853161

PECOS Enrollment IDI20240507002120

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110104

Location902 7th Street NorthCordele, GA 31015 · Crisp County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AVERY OGLE

Student in an Organized Health Care Education/Training Program