MEDICARE: MRS. OLIVIA ADCOX MEADOWS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9121016	FL
2	363A00000X	Physician Assistant	001013330	NC

General Provider Information

NPI Number	:	1083390876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLIVIA ADCOX MEADOWS PA-C

Provider Business Mailing Address
First Line	:	4409 SUN N LAKE BLVD
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33872-2170
Country	:	US
Telephone Number	:	863-402-3480
Fax Number	:

Provider Business Practice Location Address
First Line	:	4409 SUN N LAKE BLVD
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33872-2170
Country	:	US
Telephone Number	:	863-402-3480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	03/09/2026

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