Active NPI
Gail Shaw Margerum, M.D.
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME98283
- Practice address
- 800 Prudential Dr
Jacksonville, FL 32207-8202 - Phone
- (904) 202-2046
- NPI assigned
- May 16, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31576 | NC | |
| Emergency Medicine Physician | 207P00000X | 0101056391 | VA | |
| Emergency Medicine Physician | 207P00000X | ME98283 | FL | Primary |
Addresses
Primary practice location
800 Prudential Dr
Jacksonville, FL 32207-8202
Mailing address
820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209
Phone (904) 396-5682
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27791110 | Medicaid | FL | |
| 187611637A | Medicaid | GA | |
| 23923 | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmargerum19539@direct.watsonclinicad.com | Watson Clinic LLP |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 83.29
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.65 of 100
- Quality
- 90.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31576 | NC | MD | Pharmacist |
| ME98283 | FL | MD | Emergency Medicine Physician |
| 0101056391 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Tampa Bay Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Parker'S Lane Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Virginia Em-1 Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Organizations & group practices 6
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.
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- Emergency Medicine Physician
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- NPI 1114977428
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1356393169
-
- Emergency Medicine Physician
- Alexandria, VA
- NPI 1407976947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1154373751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 713",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078209",
"telephone_number": "904-396-5682",
"fax_number": "904-346-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078202",
"telephone_number": "904-202-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGERUM",
"first_name": "GAIL",
"middle_name": "SHAW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "31576",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101056391",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME98283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27791110",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187611637A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "23923",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmargerum19539@direct.watsonclinicad.com",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Watson Clinic LLP",
"address_1": "1430 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053202",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 17, 2021; 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.