Active NPI
Michael Adam Gebel, M.D.
- Neurology Physician
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME56094
- Practice address
- 1340 S 18TH St Ste 104
Fernandina Beach, FL 32034-4733 - Phone
- (904) 376-3707
- Fax
- (904) 391-5001
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101243500 | VA | |
| Neurology Physician | 2084N0400X | ME56094 | FL | Primary |
Addresses
Primary practice location
1340 S 18TH St Ste 104
Fernandina Beach, FL 32034-4733
Mailing address
PO Box 41113
Jacksonville, FL 32203-1113
Phone (904) 376-4400
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 Compare- Specialty
- Neurology
- Education
- State University of New York Downstate Medical Center, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1340 S 18TH St
Suite 104
Fernandina Beach, FL 32034-4733
Phone (904) 376-3707
916 Kingsbay Rd
Saint Marys, GA 31558-3745
Phone (912) 576-3802
Hospital & facility affiliations
- Baptist Medical Center - Nassau
- Baptist Health Medical Center - Jacksonville
- Southeast Georgia Health System -- Camden Campus
- Baptist Medical Center Beaches
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME56094 | FL | MD | Neurology Physician |
| 0101243500 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Neurology Inc | Neurology | Current | Accepting new patients |
| Neurology and Electromyography Consultants, P.a. | Neurology | Past | Accepting new patients |
Locations
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
Interoperability endpoints
- mgebel28419@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 3
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.
-
- Neurology Physician
- Jacksonville, FL
- NPI 1598995599
-
- Rehabilitation Clinic/Center
- Saint Marys, GA
- NPI 1851661045
-
- Neurology Physician
- Winter Park, FL
- NPI 1952417552
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1184625329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41113",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322031113",
"telephone_number": "904-376-4400",
"fax_number": "904-391-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 S 18TH ST STE 104",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320344733",
"telephone_number": "904-376-3707",
"fax_number": "904-391-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBEL",
"first_name": "MICHAEL",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101243500",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME56094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.