Individual provider

Alexander Dickerson, CAA

Anesthesiologist Assistant Medicare enrolled

Alexander Dickerson, CAA is an Anesthesiologist Assistant in Tampa, FL, registered under NPI 1104602010.

Getting there

The practice address on file is 3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
AA827 FL Anesthesiologist Assistant primary

This provider holds licence AA827 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Anesthesiology Assistant
PAC ID
8022462076

Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Anesthesiologist Assistant covers

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. NUCC Health Care Provider Taxonomy, code 367H00000X
Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104602010 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 6, 2023
Last updatedMar 10, 2026
StatusActive
Sole proprietorNo
CredentialCAA
Practice address 3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
(813) 350-7244
Mailing address 2995 DREW ST
Clearwater, FL 33759
This record was updated on Mar 10, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104602010 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 0 2 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 0 4 0 2

Sum = 40 · next multiple of 10 = 40 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104602010?
NPI 1104602010 is the National Provider Identifier assigned to Alexander Dickerson, CAA in Tampa, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Anesthesiologist Assistant cover?
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…
How do I contact Alexander Dickerson, CAA?
The phone number on file with NPPES is (813) 350-7244, last updated Mar 10, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Alexander Dickerson, CAA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104602010 a valid number?
Yes. 1104602010 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.