Active NPI
Alexis Auen Gates, PA
- Physician Assistant
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639 - Phone
- (850) 863-2153
- Fax
- (850) 809-4312
- NPI assigned
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639
Mailing address
1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639
Phone (850) 863-2153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Memorial Medical Pkwy
Suite 125
Daytona Beach, FL 32117-5121
Phone (386) 274-0250
Hospital & facility affiliations
- HCA Florida Fort Walton-Destin Hospital
- Sacred Heart Hospital on the Emerald Coast
- HCA Florida Twin Cities Hospital
- Gulf Breeze Hospital
- North Okaloosa Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646
103 Memorial Medical Pkwy
Ste 125
Daytona Beach, FL 32117
Phone (386) 274-0250
36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646
1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210
1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
554 Twin Cities Blvd
Ste D
Niceville, FL 32578
Phone (850) 315-9210
1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344
Interoperability endpoints
- alexis.gates.1@9109.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Fort Walton Beach, FL
- NPI 1467589010
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1003687641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476639",
"telephone_number": "850-863-2153",
"fax_number": "850-809-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476639",
"telephone_number": "850-863-2153",
"fax_number": "850-809-4312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "ALEXIS",
"middle_name": "AUEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.