Individual provider Active NPI

Billy Franklin Gardner II, MD

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1033282199
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125043 Issued in FL
Practice address
120 Health Park Blvd Ste 1
St Augustine, FL 32086-5798
Phone
(904) 819-4400
Fax
(904) 819-4472
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 030463 GA
Family Medicine Physician 207Q00000X ME125043 FL Primary

Addresses

Primary practice location

120 Health Park Blvd Ste 1
St Augustine, FL 32086-5798

Mailing address

120 Health Park Blvd Ste 1
St Augustine, FL 32086-5798
Phone (904) 819-4400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208001961 FL Practitioner - Family Practice 1850326828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
030463GAMDEmergency Medicine Physician
ME125043FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epn Urgent Care LLC Emergency Medicine Current Accepting new patients
Urgent Care of Naples PA Family Medicine CurrentSince Dec 21, 2019 Accepting new patients

Locations

6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054

70 Turin Ter
Ste 110
St Augustine, FL 32092
Phone (904) 819-7200

120 Health Park Blvd
St Augustine, FL 32086
Phone (888) 481-2135

120 Health Park Blvd
Ste 1
St Augustine, FL 32086
Phone (904) 819-4400

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1033282199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HEALTH PARK BLVD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865798",
            "telephone_number": "904-819-4400",
            "fax_number": "904-819-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTH PARK BLVD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865798",
            "telephone_number": "904-819-4400",
            "fax_number": "904-819-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BILLY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "030463",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.