JESSICA LANE GOMILLION (NPI# 1548283799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548283799 |
| Entity Type | Individual |
| Full Name | JESSICA LANE GOMILLION |
| Credential | PA |
| Practice Address |
2300 Se 17th St St 500 Ocala FL 34471-9107 |
| Practice Telephone | 3528670444 |
| Practice Fax Number | 3528675522 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | PA9102830 | FL | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA9102830 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292525700 | 05 |
| Street Address |
2300 SE 17TH ST ST 500 |
| City | OCALA |
| State | FL |
| Zip Code | 34471-9107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619958212 | James Bradford Duke | Orthopaedic Surgery | 2300 Se 17th St, Suite 500, Ocala, FL 34471-9107 | 2005-11-10 |
| 1528461605 | Ocala Pain & Wellness Center, LLC | Pain Medicine | 2300 Se 17th St, Suite 1000, Ocala, FL 34471-9107 | 2014-10-02 |
| 1790111813 | Brittany Bradshaw Bascom | Physician Assistant | 2300 Se 17th St, 500, Ocala, FL 34471-9107 | 2013-09-20 |
| 1801178975 | Teri Cumpton Md Pl | Pain Medicine | 2300 Se 17th St, Building 1000, Ocala, FL 34471-9107 | 2011-09-15 |
| 1023318060 | Ocala Health Imaging Services LLC | Radiology | 2300 Se 17th St, Bldg 800, Ocala, FL 34471-9107 | 2010-10-25 |
| 1912213935 | Grodonoff Nelson | Family Medicine | 2300 Se 17th St, Suite 402, Ocala, FL 34471-9107 | 2010-08-27 |
| 1194044248 | Courtney Hart Yancey | Nurse Practitioner | 2300 Se 17th St, Suite 500, Ocala, FL 34471-9107 | 2010-05-27 |
| 1700017514 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 2300 Se 17th St, Suite 401, Ocala, FL 34471-9107 | 2009-07-29 |
| 1184705659 | Sara Jo Randolph | Registered Nurse | 2300 Se 17th St, Suite 500, Ocala, FL 34471-9107 | 2006-10-18 |
| 1124126172 | Joseph Edward Stanfield | Chiropractor | 2300 Se 17th St, 1100, Ocala, FL 34471-9141 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178747 | Nykia-george Anthea Bryan | Physician Assistant | 1710 Nw 19th St, Ocala, FL 34475-4989 | 2020-06-12 |
| 1013552439 | Mikayla Bogulski | Physician Assistant | 10455 Sw 73rd Ave, Ocala, FL 34476-9119 | 2019-11-08 |
| 1811546013 | Tabitha Kicklighter | Physician Assistant | 2221 Sw 19th Avenue Rd Unit 100, Ocala, FL 34471-7758 | 2019-09-10 |
| 1578128252 | Jonathan Kletter | Physician Assistant | 4031 Se 20th St, Ocala, FL 34471-5676 | 2019-05-07 |
| 1104395144 | Colby Joel Barker | Physician Assistant | 3451 Se 107th Pl, Ocala, FL 34480 | 2018-11-20 |
| 1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
| 1831560085 | Amy Balius | Physician Assistant | 8399 Sw 80th St, Suite 15, Ocala, FL 34481-9120 | 2015-10-14 |
| 1851774731 | Ashley Love | Physician Assistant | 4600 Sw 46th Ct Ste 150, Ocala, FL 34474-5753 | 2015-07-09 |
| 1811381627 | Jessica O'carroll | Physician Assistant | 1901 Se 18th Ave Ste 400, Ocala, FL 34471 | 2015-03-19 |
| 1407297773 | Lina Marcela Chapman | Physician Assistant | 2300 Se 17th St Ste 500, Ocala, FL 34471-9139 | 2013-07-15 |
| Find all providers in OCALA | ||||
Please comment or provide details below to improve the information on JESSICA LANE GOMILLION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.