Active NPI
Judyth C Dawson, PA-C
- Medical Physician Assistant
- Gainesville, FL
National Provider Identifier
1104917541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1925
- Practice address
- 6800 NW 9TH Blvd
Suite4
Gainesville, FL 32605-4231 - Phone
- (352) 331-3300
- Fax
- (352) 331-2637
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1925 | FL | Primary |
Addresses
Primary practice location
6800 NW 9TH Blvd
Suite4
Gainesville, FL 32605-4231
Mailing address
6800 NW 9TH Blvd
Suite 4
Gainesville, FL 32605-4231
Phone (352) 331-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1925 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert G. Ashley, M.D., P.a. | Current | Accepting new patients | |
| Alachua County Health Department | Past | Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients |
Locations
6800 NW 9th Blvd
Ste 4
Gainesville, FL 32605
Phone (352) 331-3300
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.
-
- Primary Care Clinic/Center
- Gainesville, FL
- NPI 1659687507
-
- Public Health or Welfare Agency
- Gainesville, FL
- NPI 1750423786
-
- Public Health or Welfare Agency
- Gainesville, FL
- NPI 1568016541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1104917541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 NW 9TH BLVD",
"address_2": "SUITE 4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054231",
"telephone_number": "352-331-3300",
"fax_number": "352-331-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 NW 9TH BLVD",
"address_2": "SUITE4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054231",
"telephone_number": "352-331-3300",
"fax_number": "352-331-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JUDYTH",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA1925",
"primary": true
}
],
"identifiers": [],
"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 Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.