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Active NPI 1063176964 Individual Practitioner Male Practitioner

Benjamin Algren Anderson , PA-C

Physician Assistant • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Benjamin Anderson, PA-C is a registered healthcare professional specializing in Physician Assistant in Daytona Beach, FL. Practice services are available at 222 S PENINSULA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

222 S Peninsula Dr

Daytona Beach, FL 321184422

Telephone 3863102160
Fax 3863102106
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Daytona Beach, FL (10376 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9115164

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa-C License Number
PA9115164 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ayesha Tabassom

Emergency Medicine

NPI 1033558630
Omaid Tariq

Emergency Medicine

NPI 1033606033
Alison Buscher

Physician Assistant

NPI 1043103492
Dr. Deeppreet Singh , MD

Internal Medicine

NPI 1043248875

Doctor of Medicine (M.D.)

Loren Captain , PA-C

Physician Assistant

NPI 1053202960

Physician Assistant (Certified)

NPI 1063089621

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 22, 2025

Registered at 222 S PENINSULA DR, DAYTONA BEACH, FL 321184422 (Tel: 3863102160)

📍
Updated Business Mailing Address January 22, 2025

Registered at 222 S PENINSULA DR, DAYTONA BEACH, FL 321184422 (Tel: 3863102160)

NPI Profile Active October 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2021

Registered at 2571 W EAU GALLIE BLVD STE 1, MELBOURNE, FL 329358302 (Tel: 3213121570)

📍
Updated Business Mailing Address October 26, 2021

Registered at 11734 SINDLESHAM CT, ORLANDO, FL 328375755 (Tel: 3037041248)

👤
Provider Name / Credentials Updated October 26, 2021

Recorded as BENJAMIN ANDERSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2021

Physician Assistant (License #PA9115164 in FL)

🟢
Initial NPI Registration & Enumeration October 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063176964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2021
Last Update: January 22, 2025
Sole Proprietor: No

Mailing Address

222 S Peninsula Dr

Daytona Beach, FL 321184422

Phone: 3863102160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.