Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Olson Dickey, CAA

Individual provider Anesthesiologist Assistant · NPI 1134760580

Benjamin Olson Dickey, CAA is an Anesthesiology Assistant in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
7
Licensed in
FL, GA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 202-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA550 (FL)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 28512091 (GA)

Record details

NPI number1134760580
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address820 Prudential Dr Ste 606, Jacksonville, FL 32207-8208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Jacksonville