NPIMap

Organization Active NPI

Digestive Disease Associates

  • Gastroenterology Physician
  • Gainesville, FL
National Provider Identifier
1083790265
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0061492 Issued in FL
Legal business name
DIGESTIVE DISEASE ASSOCIATES
Practice address
6400 W Newberry Road
Suite 302
Gainesville, FL 32605
Phone
(352) 331-8902
Fax
(352) 332-7832
NPI assigned
Oct 31, 2006
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dennis Patrick Collins, M.D.NPI 1205870110
Title
Managing Partner
Phone
(352) 331-8902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME0061492 FL Primary

Addresses

Primary practice location

6400 W Newberry Road
Suite 302
Gainesville, FL 32605

Mailing address

6400 W Newberry Road
Suite 308
Gainesville, FL 32605
Phone (352) 331-8902

Other identifiers 1

IdentifierTypeStateIssuer
370733400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000268 FL Part B Supplier - Clinic/Group Practice 2365425816 Receives reassigned benefits from 46 practitioners
Practice locations: Gainesville, FL

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
10D0271936Digestive Disease Associates of North Florida, Inc6400 W Newberry Rd Ste 302, Gainesville, FL 32605ComplianceJan 10, 2028

National Provider Directory

National Provider Directory

Locations

6400 W Newberry Rd
Ste 308
Gainesville, FL 32605
Phone (352) 331-8902

Practitioners & affiliated clinicians

Practitioners 54

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 54

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1083790265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY ROAD",
            "address_2": "SUITE 308",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-8902",
            "fax_number": "352-332-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY ROAD",
            "address_2": "SUITE 302",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-8902",
            "fax_number": "352-332-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "352-331-8902",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0061492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370733400",
            "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 16, 2024; 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.