Active NPI
Gerardo Augusto Montanez Galvis, ARNP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9285572
- Practice address
- 1215 Dunn Ave
Suite 1
Jacksonville, FL 32218-6330 - Phone
- (904) 696-7474
- Fax
- (904) 696-7476
- NPI assigned
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9285572 | FL | Primary |
Addresses
Primary practice location
1215 Dunn Ave
Suite 1
Jacksonville, FL 32218-6330
Mailing address
6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 745-3618
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130301000408 | FL | Practitioner - Nurse Practitioner | 1355596024 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avecina Medical PA | Current | Accepting new patients | |
| Avecina Medical, PA | Current | Accepting new patients | |
| Physicians Medical Center, Inc. | Past | Accepting new patients | |
| Physicians Medical Centers-Jax Inc | Past | Accepting new patients | |
| Family Care Partners Urgent Care, LLC | Past | Accepting new patients |
Locations
4160 Southside Blvd
Ste 10
Jacksonville, FL 32216
Phone (904) 900-1717
4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372
1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988
2020 Kingsley Ave
Ste A
Orange Park, FL 32073
Phone (904) 458-1308
1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988
Interoperability endpoints
- gerardo.montanez.1@10406.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1215082003
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1962200717
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1386147882
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1063454858
-
- Urgent Care Clinic/Center
- Orange Park, FL
- NPI 1336320753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1093061723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 FORT CAROLINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322772044",
"telephone_number": "904-745-3618",
"fax_number": "904-722-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 DUNN AVE",
"address_2": "SUITE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322186330",
"telephone_number": "904-696-7474",
"fax_number": "904-696-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANEZ GALVIS",
"first_name": "GERARDO",
"middle_name": "AUGUSTO",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9285572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.