Healthcare Provider Details

I. General information

NPI: 1598507899
Provider Name (Legal Business Name): MS. ANDRIA MARGUERITE SEXTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 05/07/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 HUGHES RD
MADISON AL
35758
US

IV. Provider business mailing address

27 HUGHES ROAD
MADISON AL
35758
US

V. Phone/Fax

Practice location:
  • Phone: 256-325-8971
  • Fax:
Mailing address:
  • Phone: 256-599-4078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: