Kendall B Adkisson (NPI# 1851549695, PAC ID# 0345411294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1851549695 |
| PAC ID by PECOS | 0345411294 |
| Professional Enrollment ID | I20110926000332 |
| Full Name | Kendall B Adkisson |
| Organization Legal Name | INTRACOASTAL DERMATOLOGY PLLC |
| Address |
4776 Hodges Blvd Suite 105 Jacksonville FL 32224-7218 |
| Phone Number | 9044048555 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7911145511 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218 | 9044048555 | INTRACOASTAL DERMATOLOGY PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 91% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 99% |
| Organization Legal Name | INTRACOASTAL DERMATOLOGY PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen Clarke-romero | Nurse Practitioner | Intracoastal Dermatology Pllc | 4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218 |
| Melissa H Singleton | Physician Assistant | Intracoastal Dermatology Pllc | 4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218 |
| Florence M O Connell | Dermatology | Intracoastal Dermatology Pllc | 4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218 |
| Street Address |
4776 HODGES BLVD SUITE 105 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32224-7218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen Clarke-romero | Nurse Practitioner | Intracoastal Dermatology Pllc | 4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218 |
| Melissa H Singleton | Physician Assistant | Intracoastal Dermatology Pllc | 4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218 |
| Florence M O Connell | Dermatology | Intracoastal Dermatology Pllc | 4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218 |
| Luize Entsminger | Physical Therapy | In Motion Physical Therapy LLC | 4776 Hodges Blvd, Suite 101, Jacksonville, FL 32224-7218 |
| Joanna Frantz | Physical Therapy | In Motion Physical Therapy LLC | 4776 Hodges Blvd, Suite 101, Jacksonville, FL 32224-7218 |
| Kirsten Heath | Physical Therapy | In Motion Physical Therapy LLC | 4776 Hodges Blvd, Suite 101, Jacksonville, FL 32224-7218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel A Black | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
| Jason Manuel | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
| Randi Most | Psychologist, Clinical | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | |
| John R Moreland | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
| Eileen Krimsky | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
| Robert Stephen Woodward | Occupational Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Amy Oliver | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Laurie Scheer Berger | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Nancy Kysela | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Mariane Pistelli Ferreira | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
| Find all physicians in zip 32224 | |||
| City | JACKSONVILLE |
| Zip Code | 32224 |
| Specialty | DERMATOLOGY |
| City + Specialty | JACKSONVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Kendall B Adkisson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.