NPIMap

Individual provider Active NPI

Gena Plain, PA-C

  • Physician Assistant
  • Madison, FL
National Provider Identifier
1164478756
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101319 Issued in FL
Practice address
235 SW Dade St
Madison, FL 32340-2363
Phone
(850) 973-8851
Fax
(850) 973-8851
NPI assigned
May 25, 2006
Last updated
Jul 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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 PA9101319 FL Primary

Addresses

Primary practice location

235 SW Dade St
Madison, FL 32340-2363

Mailing address

235 SW Dade St
Madison, FL 32340-2363
Phone (850) 973-8851

Other identifiers 1

IdentifierTypeStateIssuer
292290800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070125000406 FL Practitioner - Physician Assistant 1052312519 Reassigns benefits to 4 organizations
I20070419000218 GA Practitioner - Physician Assistant 1052312519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Meridian Medical Services CorporationGroup PAC ID 2769631456, 2 clinicians
SMD EMS Group LLCGroup PAC ID 8224517511, 11 clinicians

Practice addresses (Care Compare)

12449 Chimney LN
Tallahassee, FL 32312-0961
Phone (229) 293-0037

224 NW Crane Ave
Madison, FL 32340-1400
Phone (850) 973-2271

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004956GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Hospital Health Systems, Inc. CurrentSince Apr 23, 2024 Accepting new patients
Clinch County Hospital Authority CurrentSince Mar 1, 2007 Accepting new patients
SMD EMS Group LLC CurrentSince Dec 22, 2025 Accepting new patients
Perry Emergency Physicians LLC Past Accepting new patients
Southland-Nashville Emergency Services, LLC. Past Accepting new patients

Locations

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

235 SW Dade St
Madison, FL 32340
Phone (850) 973-1402

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

Organizations & group practices 10

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 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1164478756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SW DADE ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402363",
            "telephone_number": "850-973-8851",
            "fax_number": "850-973-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SW DADE ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402363",
            "telephone_number": "850-973-8851",
            "fax_number": "850-973-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAIN",
        "first_name": "GENA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292290800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, FL

Sources for this page

Verify at the official NPI Registry.