Active NPI
Madison G Gilley
- Hearing Instrument Specialist
- The Villages, FL
National Provider Identifier
1235758863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5510
- Practice address
- 1501 N US Highway 441 Ste 1402
The Villages, FL 32159-6818 - Phone
- (352) 753-8448
- NPI assigned
- Apr 14, 2020
- Last updated
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5510 | FL | Primary |
Addresses
Primary practice location
1501 N US Highway 441 Ste 1402
The Villages, FL 32159-6818
Mailing address
1501 N US Highway 441 Ste 1402
The Villages, FL 32159-6818
Phone (352) 753-8448
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 352-753-8448 | ||
| CONNECT URL | 352-753-8448 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS5510 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake ENT & FPS, PA | Single Specialty | Past | Accepting new patients |
| Painfree Physical Therapy Inc | Single Specialty | Past | Accepting new patients |
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.
-
dba Lake Ear, Nose Throat and Facial Plastic Surgery Associates
- Specialist
- Leesburg, FL
- NPI 1629091996
Single Specialty
-
- Physical Therapy Clinic/Center
- Leesburg, FL
- NPI 1710205810
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1235758863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N US HIGHWAY 441 STE 1402",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596818",
"telephone_number": "352-753-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N US HIGHWAY 441 STE 1402",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321596818",
"telephone_number": "352-753-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEY",
"first_name": "MADISON",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5510",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "352-753-8448",
"affiliation": "N",
"address_1": "1501 N US Highway 441 Ste 1402",
"city": "The Villages",
"state": "FL",
"country_code": "US",
"postal_code": "321596818",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "352-753-8448",
"affiliation": "N",
"address_1": "1501 N US Highway 441 Ste 1402",
"city": "The Villages",
"state": "FL",
"country_code": "US",
"postal_code": "321596818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.