Individual provider Active NPI

Jo-Anne Gammon, ARNP

  • Gerontology Nurse Practitioner
  • High Springs, FL
National Provider Identifier
1194170977
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP2602162 Issued in FL
Practice address
25406 NW 168TH PL
High Springs, FL 32643-1636
Phone
(352) 231-1380
NPI assigned
Apr 28, 2016
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2602162 FL
Gerontology Nurse Practitioner 363LG0600X ARNP2602162 FL Primary

Addresses

Primary practice location

25406 NW 168TH PL
High Springs, FL 32643-1636

Mailing address

25406 NW 168TH PL
High Springs, FL 32643-1636

Other practice location 1

38240 Daughtery Rd
Zephyrhills, FL 33540-1367
Phone (813) 788-3582

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Leesburg

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101002702 FL Practitioner - Nurse Practitioner 0244518884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrews Healthcare ConsultingGroup PAC ID 5092132761, 18 clinicians

Practice addresses (Care Compare)

103 SE 3Rd St
Trenton, FL 32693-3247

7284 SW Sr
26 Tri County Internal Medicine and Family PR
Trenton, FL 32693-5882
Phone (352) 577-5252

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP2602162FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews Healthcare Consulting CurrentSince Sep 20, 2022 Accepting new patients
Teresa F Barr, LLC Gerontology CurrentSince Jun 29, 2019 Accepting new patients

Locations

1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081

103 SE 3rd St
Trenton, FL 32693
Phone (352) 577-5252

7284 SW State Road 26
Trenton, FL 32693
Phone (352) 463-1222

Organizations & group practices 2

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 2

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1194170977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25406 NW 168TH PL",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326431636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25406 NW 168TH PL",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326431636",
            "telephone_number": "352-231-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38240 Daughtery Rd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335401367",
            "country_code": "US",
            "telephone_number": "813-788-3582",
            "fax_number": "813-780-6707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "JO-ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2602162",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP2602162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Leesburg",
            "affiliation": "N",
            "address_1": "25406 NW 168th Pl",
            "city": "High Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326431636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Springs, FL

Sources for this page

Verify at the official NPI Registry.