Individual provider Active NPI

Gary Mitchell Price, M.D., F.A.C.P.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1063445567
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0042759 Issued in FL
Practice address
9722 Commerce Center CT
Fort Myers, FL 33908-3607
Phone
(239) 415-1111
Fax
(239) 415-1199
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0042759 FL Primary

Addresses

Primary practice location

9722 Commerce Center CT
Fort Myers, FL 33908-3607

Mailing address

9722 Commerce Center CT
Fort Myers, FL 33908-3607
Phone (239) 415-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 25, 2017 through Apr 25, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0042759FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary M. Price, MD, Facp, PA Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Physicians Primary Care of Southwest Florida PL Internal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1063445567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083607",
            "telephone_number": "239-415-1111",
            "fax_number": "239-415-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9722 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083607",
            "telephone_number": "239-415-1111",
            "fax_number": "239-415-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "GARY",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0042759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.