Individual provider Active NPI

Stephanie Daisy Anderson, MD

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1114423142
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME150935 Issued in FL
Practice address
1014 NW 57TH St
Gainesville, FL 32605-4486
Phone
(352) 376-8211
Fax
(352) 373-7594
NPI assigned
Mar 30, 2018
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X ME150935 FL Primary

Addresses

Primary practice location

1014 NW 57TH St
Gainesville, FL 32605-4486

Mailing address

1147 NW 64TH Ter
Gainesville, FL 32605-4218
Phone (352) 333-5152

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000996 FL Practitioner - Family Practice 6103234364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 SW 1St Ave
Ocala, FL 34471-0900
Phone (352) 732-6599

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

3030 W Bearss Ave
Tampa, FL 33618-1811
Phone (813) 968-8777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers Inc Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Jul 29, 2021 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jul 29, 2021 Accepting new patients
Ocala Hospital Care Providers, PLLC CurrentSince Mar 4, 2024 Accepting new patients
Heart of Florida Health Center, Inc CurrentSince Apr 21, 2021 Accepting new patients
Heart of Florida Health Center Inc Past Accepting new patients
Heart of Florida Health Center Inc Past Accepting new patients
Trenton Medical Center, Inc. Past Accepting new patients
Trenton Medical Center Inc Past Accepting new patients

Locations

5051 SE 110th St
Belleview, FL 34420
Phone (335) 267-4173

19204 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 465-2449

100 Marion Oaks Blvd
Ocala, FL 34473

1025 SW 1st Ave
Ocala, FL 34471
Phone (352) 877-7140

1202 SW 17th St
Ste 102
Ocala, FL 34471
Phone (352) 237-4417

1202 SW 17th St
Ste 168
Ocala, FL 34471

2553 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 867-0303

6041 SW 54th St
Ste 100
Ocala, FL 34474
Phone (352) 854-0700

635 SE 17th St
Ocala, FL 34471
Phone (352) 629-7921

9280 SW 81st Ct
Ocala, FL 34481
Phone (352) 509-5201

9848 SW 110th St
Ocala, FL 34481
Phone (352) 291-7253

4500 NW 152nd Ln
Reddick, FL 32686
Phone (352) 591-2470

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

16529 SE 86th Belle Meade Cir
The Villages, FL 32162
Phone (352) 385-8200

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1114423142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054218",
            "telephone_number": "352-333-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054486",
            "telephone_number": "352-376-8211",
            "fax_number": "352-373-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHANIE",
        "middle_name": "DAISY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME150935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.