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

Mariah Jade Ford

Individual provider Physician Assistant · NPI 1326769803

Mariah Jade Ford is a Physician Assistant in Tarpon Springs, Florida. Qualified in 2022, 4 years ago. Practices with Academic Alliance in Dermatology Inc, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022

Practice location Address checks out

1005 E Boyer St
Tarpon Springs, FL 34689-5501
Phone: (727) 934-7638
Fax: (727) 944-4052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2044 Trinity Oaks Blvd Ste 130, Trinity, FL 34655-4405 — (727) 375-5961

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116401 (FL)

Record details

NPI number1326769803
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2022
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing addressPo Box 23329, New York, NY 10087-3329

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Academic Alliance In Dermatology Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tarpon Springs