Individual provider Active NPI

Nicholas J Garcia, DO

  • Family Medicine Physician
  • Englewood, FL
National Provider Identifier
1063774149
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS15833 Issued in FL
Practice address
900 Pine St Ste 111B
Englewood, FL 34223-4457
Phone
(941) 681-3333
Fax
(941) 681-3335
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1152 NE
Family Medicine Physician 207Q00000X OS15833 FL Primary

Addresses

Primary practice location

900 Pine St Ste 111B
Englewood, FL 34223-4457

Mailing address

900 Pine St Ste 111B
Englewood, FL 34223-4457
Phone (941) 681-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190820000107 FL Practitioner - Family Practice 0840515847 Reassigns benefits to 1 organization
I20250519003472 WY Practitioner - Family Practice 0840515847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rocky Vista University College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians

Practice addresses (Care Compare)

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1152NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Jun 2, 2025 Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients
Coastline Surgical Group, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Campbell County Hospital District CurrentSince Jun 2, 2025 Accepting new patients
James Villotti MD PA Family Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

900 Pine St
Ste 111B
Englewood, FL 34223
Phone (941) 786-0790

900 Pine St
#111B
Englewood, FL 34223
Phone (941) 474-0023

900 Pine St
Ste 127
Englewood, FL 34223
Phone (941) 475-2022

900 Pine St
Ste 111
Englewood, FL 34223
Phone (941) 460-1300

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: nicholas.garcia.1@15244.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1063774149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 111B",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234457",
            "telephone_number": "941-681-3333",
            "fax_number": "941-681-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 111B",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234457",
            "telephone_number": "941-681-3333",
            "fax_number": "941-681-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1152",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.