J. Gary Evans (NPI# 1699779975, PAC ID# 8921140658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1699779975 |
| PAC ID by PECOS | 8921140658 |
| Professional Enrollment ID | I20100119000527 |
| Full Name | J. Gary Evans |
| Organization Legal Name | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| Address |
1635 Eagle Harbor Pkwy Suite 5 Fleming Island FL 32003-4827 |
| Phone Number | 9043842240 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 7214823640 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 | 9043842240 | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| 3550 University Blvd S, Suite 204, Jacksonville, FL 32216-4226 | 9043842240 | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 | 9043842240 | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| 1375 Roberts Dr, Suite 202, Jacksonville Beach, FL 32250-3209 | 9043842240 | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| 600 Plantation Island Dr S, Suite 1, St Augustine, FL 32080-6010 | 9043842240 | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal A Gonzalez | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Jennifer D Becker | Physician Assistant | Northeast Florida Endocrine and Diabetes Associates Pa | 600 Plantation Island Dr S, Suite 1, St Augustine, FL 32080-6010 |
| Salwa S Ayad | Endocrinology | Northeast Florida Endocrine and Diabetes Associates Pa | 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 |
| Rodel R Gloria | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 3550 University Blvd S, Suite 301, Jacksonville, FL 32216-4225 |
| Ana C Hayward | Physician Assistant | Northeast Florida Endocrine and Diabetes Associates Pa | 1375 Roberts Dr, Suite 202, Jacksonville Beach, FL 32250-3209 |
| Troy Townsend Ellis | Physician Assistant | Northeast Florida Endocrine and Diabetes Associates Pa | 1375 Roberts Dr, Suite 202, Jacksonville Beach, FL 32250-3209 |
| Mae Sheikh Ali | Endocrinology | Northeast Florida Endocrine and Diabetes Associates Pa | 3550 University Blvd S, Suite 301, Jacksonville, FL 32216-4225 |
| Melody A Perez | Nurse Practitioner | Northeast Florida Endocrine and Diabetes Associates Pa | 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 |
| Mousa R Bateh | Podiatry | Northeast Florida Endocrine and Diabetes Associates Pa | 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 |
| Andrea E Kessler | Physician Assistant | Northeast Florida Endocrine and Diabetes Associates Pa | 1375 Roberts Dr, Suite 202, Jacksonville Beach, FL 32250-3209 |
| Street Address |
1635 EAGLE HARBOR PKWY SUITE 5 |
| City | FLEMING ISLAND |
| State | FL |
| Zip | 32003-4827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salwa S Ayad | Endocrinology | Northeast Florida Endocrine and Diabetes Associates Pa | 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 |
| Mousa R Bateh | Podiatry | Northeast Florida Endocrine and Diabetes Associates Pa | 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 |
| Senan Sultan | Endocrinology | Northeast Florida Endocrine and Diabetes Associates Pa | 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 |
| Ricardo A Silva | Endocrinology | Northeast Florida Endocrine and Diabetes Associates Pa | 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 |
| Khurram Wadud | Endocrinology | Northeast Florida Endocrine and Diabetes Associates Pa | 1635 Eagle Harbor Pkwy, Suite 5, Fleming Island, FL 32003-4827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karlee Butler Norell | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Barbara J Mcdougall | Psychologist, Clinical | 4609 Hwy 17 1, Fleming Island, FL 32003 | |
| Jeffrey Blake Burnette | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Emily D Benn | Physical Therapy | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Paul Baldwin | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Mark Thomas Gould | Orthopedic Surgery | Hughston Orthopaedic Southeast PC | 4689 Hwy 17, Suite 11 and 12, Fleming Island, FL 32003 |
| Vanessa J Embry | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1125 Fleming Plantation Blvd, Fleming Island, FL 32003-3389 |
| Murren Hill | Psychologist, Clinical | 414 Old Hard Rd, Suite 108, Fleming Island, FL 32003-3407 | |
| Sathavaram Aravind Reddy | Interventional Pain Management | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Janell L Miller | Nurse Practitioner | Jacksonville Spine Center Pa | 2349 Village Square Pkwy, Suite 107, Fleming Island, FL 32003-4319 |
| Find all physicians in zip 32003 | |||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | FLEMING ISLAND + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on J. Gary Evans.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.