Individual provider Active NPI

Judyth C Dawson, PA-C

  • Medical Physician Assistant
  • Gainesville, FL
National Provider Identifier
1104917541
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1925 Issued in FL
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

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PA1925FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G. Ashley, M.D., P.a. CurrentSince Nov 15, 2011 Accepting new patients
Alachua County Health Department PastSince Jan 1, 1990 Accepting new patients
Florida Department of Health PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.