Individual provider Active NPI

Paige Malick, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1083213102
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA911926 Issued in FL
Practice address
5979 Vineland Rd Ste 310
Orlando, FL 32819-7856
Phone
(407) 345-0005
Fax
(407) 352-8585
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 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 PA911926 FL Primary

Addresses

Primary practice location

5979 Vineland Rd Ste 310
Orlando, FL 32819-7856

Mailing address

5979 Vineland Rd Ste 310
Orlando, FL 32819-7856
Phone (407) 345-0005

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
I20241008002871 FL Practitioner - Physician Assistant 3870908650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Aparna Hernandez, MD PAGroup PAC ID 9436183712, 4 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

5979 Vineland Rd
Suite 310
Orlando, FL 32819-7856
Phone (407) 345-0005

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA911926FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
QMG7,LLC Past Accepting new patients
Bridgeport Family Medicine LLC PastSince Nov 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paige.malick@xdr.hhchealthdirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFBDD/Endpoint/DCFBDD

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.

Hospital & facility affiliations 5

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1083213102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197856",
            "telephone_number": "407-345-0005",
            "fax_number": "407-352-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197856",
            "telephone_number": "407-345-0005",
            "fax_number": "407-352-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALICK",
        "first_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA911926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.