Individual provider Active NPI

Jason Robert Konopack, M.D.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1174961429
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126544 Issued in FL
Practice address
7485 SW 17TH Rd
Gainesville, FL 32607-1000
Phone
(352) 757-6270
Fax
(352) 757-6271
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME126544 FL Primary

Addresses

Primary practice location

7485 SW 17TH Rd
Gainesville, FL 32607-1000

Mailing address

1707 N Main St
Gainesville, FL 32609-3650

Other identifiers 1

IdentifierTypeStateIssuer
017454500MedicaidFL

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
I20160629002945 FL Practitioner - Family Practice 9537397096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Physicians LLCGroup PAC ID 1759431182, 14 clinicians

Practice addresses (Care Compare)

6500 W Newberry Rd
Gainesville Family Physicians
Gainesville, FL 32605-4309
Phone (352) 333-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Physicians LLC Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Trenton Medical Center Inc Current Accepting new patients
Trenton Medical Center Inc CurrentSince Feb 1, 2021 Accepting new patients
Trenton Medical Center, Inc. CurrentSince Feb 1, 2021 Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

103 US Highway 27 SW
Branford, FL 32008
Phone (386) 395-3090

410 N Main St
Ste 12
Chiefland, FL 32626
Phone (352) 493-1686

2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023

7485 SW 17th Rd
Gainesville, FL 32607
Phone (352) 333-5700

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

200 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 265-9484

6900 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-6680

16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260

211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751

922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

630 N Main St
Williston, FL 32696
Phone (352) 528-0587

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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.

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1174961429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 N MAIN ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 SW 17TH RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071000",
            "telephone_number": "352-757-6270",
            "fax_number": "352-757-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPACK",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017454500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.