Individual provider Active NPI

Gurnoor Singh, MD

  • Student in an Organized Health Care Education/Training Program
  • Palatka, FL
National Provider Identifier
1174343776
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
HSE41378 Issued in FL
Practice address
700 Zeagler Dr Ste 6
Palatka, FL 32177-3826
Phone
(386) 267-7376
Fax
(386) 267-7318
NPI assigned
Oct 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X HSE41378 FL Primary

Addresses

Primary practice location

700 Zeagler Dr Ste 6
Palatka, FL 32177-3826

Mailing address

700 Zeagler Dr Ste 6
Palatka, FL 32177-3826
Phone (986) 262-1501

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
HSE41378FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Roots Health LLC Internal Medicine Current Accepting new patients

Locations

700 Zeagler Dr
Ste 6
Palatka, FL 32177
Phone (386) 312-0646

700 Zeagler Dr
Ste 8
Palatka, FL 32177
Phone (386) 328-4036

Organizations & group practices 1

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": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1174343776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 6",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "986-262-1501",
            "fax_number": "386-267-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 6",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-267-7376",
            "fax_number": "386-267-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GURNOOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-16",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "HSE41378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.