NPIMap

Organization Active NPI

Accent Physician Specialists PA

  • Otolaryngology Physician
  • Gainesville, FL
National Provider Identifier
1063457273
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ACCENT PHYSICIAN SPECIALISTS PA
Practice address
4340 W Newberry Rd
Suite 301
Gainesville, FL 32607-2557
Phone
(352) 372-9414
Fax
(352) 271-5393
NPI assigned
Jun 19, 2006
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Amber Nichole Dockeney
Title
Credentialing Supervisor
Phone
(352) 372-9414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Otolaryngology Physician 207Y00000X NU Primary
Plastic Surgery Physician 208200000X NU

Addresses

Primary practice location

4340 W Newberry Rd
Suite 301
Gainesville, FL 32607-2557

Mailing address

4340 W Newberry Rd
Suite 301
Gainesville, FL 32607-2557
Phone (352) 372-9414

Other identifiers 3

IdentifierTypeStateIssuer
276359103MedicaidFL
112807700MedicaidFL
40297OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000202 FL Part B Supplier - Clinic/Group Practice 4082686951 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
Practice locations: Gainesville, FL; Lake City, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0271769Accent Physician Specialists PA4340 Newberry Rd Ste 301, Gainesville, FL 32607Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: alexrafanan@accent.allscriptsdirect.net
  • Direct secure messaging: briankerr@accent.allscriptsdirect.net
  • Direct secure messaging: colleendigman@accent.allscriptsdirect.net
  • Direct secure messaging: danielhall@accent.allscriptsdirect.net
  • Direct secure messaging: jeffreyphillips@accent.allscriptsdirect.net
  • Direct secure messaging: maniveleswaran@accent.allscriptsdirect.net
  • Direct secure messaging: reneeberens@accent.allscriptsdirect.net
  • Direct secure messaging: sadafjeelani@accent.allscriptsdirect.net
  • Direct secure messaging: sandrawerbel@accent.allscriptsdirect.net
  • Direct secure messaging: tamarawright@accent.allscriptsdirect.net
  • Direct secure messaging: vinaypatel@accent.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1063457273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCENT PHYSICIAN SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "DOCKENEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "352-372-9414"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276359103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112807700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "40297",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.