Individual provider Active NPI

Gary C McCarragher, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Brooksville, FL
National Provider Identifier
1225099583
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME64668 Issued in FL
Practice address
12190 Cortez Blvd
Brooksville, FL 34613-5578
Phone
(352) 597-1206
Fax
(352) 597-1208
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME64668 FL Primary

Addresses

Primary practice location

12190 Cortez Blvd
Brooksville, FL 34613-5578

Mailing address

12190 Cortez Blvd
Brooksville, FL 34613-5578
Phone (352) 597-1206

Other practice location 1

12470 Telecom Dr Ste 300W
Temple Terrace, FL 33637-0904
Phone (813) 871-8183

Other identifiers 1

IdentifierTypeStateIssuer
263287000MedicaidFL

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
I20090515000020 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9436208709 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando-Pasco Hospice, Inc. CurrentSince May 1, 2016 Accepting new patients
Hernando-Pasco Hospice, Inc. CurrentSince May 1, 2016 Accepting new patients
Hospice and Palliative Physician Services, LLC PastSince Dec 1, 2007 Accepting new patients

Locations

12107 Majestic Blvd
Hudson, FL 34667
Phone (727) 863-7971

2939 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 527-4600

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183

12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1225099583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12190 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135578",
            "telephone_number": "352-597-1206",
            "fax_number": "352-597-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12190 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135578",
            "telephone_number": "352-597-1206",
            "fax_number": "352-597-1208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12470 Telecom Dr Ste 300W",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370904",
            "country_code": "US",
            "telephone_number": "813-871-8183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARRAGHER",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME64668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263287000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.