Individual provider Active NPI

Donna Gomez, PA-C

  • Physician Assistant
  • Kissimmee, FL
National Provider Identifier
1033967989
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118792 Issued in FL
Practice address
2400 N Orange Blossom TRL Ste 203
Kissimmee, FL 34744-2307
Phone
(407) 932-6204
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118792 FL Primary

Addresses

Primary practice location

2400 N Orange Blossom TRL Ste 203
Kissimmee, FL 34744-2307

Mailing address

2400 N Orange Blossom TRL Ste 203
Kissimmee, FL 34744-2307
Phone (407) 932-6204

Other practice location 1

2450 N Orange Blossom Trl
Kissimmee, FL 34744-2316
Phone (407) 303-2615

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723004741 FL Practitioner - Physician Assistant 0648716886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

1700 S Tamiami Trail
FPG Central Billing Office
Sarasota, FL 34239-3509

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

1921 Waldemere St
Sarasota, FL 34239-2941

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Physician Assistant CurrentSince Sep 8, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 29, 2024 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Jul 29, 2024 Accepting new patients
SMH Physician Services Inc Past Accepting new patients

Locations

2400 N Orange Blossom Trl
Ste 203
Kissimmee, FL 34744
Phone (407) 932-6204

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1950 Arlington St
Ste 101
Sarasota, FL 34239
Phone (941) 366-1400

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: donna.gomez@fpg.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1033967989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 203",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442307",
            "telephone_number": "407-932-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 203",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442307",
            "telephone_number": "407-932-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 N Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347442316",
            "country_code": "US",
            "telephone_number": "407-303-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "DONNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.