Individual provider Active NPI

Logan Davis Armstrong, PA-C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1104451319
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113381 Issued in FL
Practice address
1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3770
Phone
(352) 401-1218
NPI assigned
Mar 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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 PA9113381 FL Primary

Addresses

Primary practice location

1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3770

Mailing address

409 S Harrison St
Princeton, KY 42445-2107
Phone (954) 774-0677

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
I20200922000189 FL Practitioner - Physician Assistant 9931527041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Trauma LLCGroup PAC ID 2769632850, 17 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1234 SE Magnolia Extension
Unit 1
Ocala, FL 34471-3770
Phone (352) 629-7979

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1000

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC CurrentSince Jan 17, 2022 Accepting new patients

Locations

1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471
Phone (352) 401-1218

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: logan.armstrong@hca5.eclinicaldirectplus.com

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 1

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": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1104451319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S HARRISON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452107",
            "telephone_number": "954-774-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 SE MAGNOLIA EXT UNIT 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713770",
            "telephone_number": "352-401-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "LOGAN",
        "middle_name": "DAVIS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-08",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.