Active NPI
Anne Marie Geraghty
- Contractor
- Palm Coast, FL
National Provider Identifier
1306824537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- G623053418630
- Practice address
- 20 Watermill PL
Palm Coast, FL 32164-7645 - Phone
- (386) 986-3079
- Fax
- (386) 986-3079
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | G623053418630 | FL | Primary |
Addresses
Primary practice location
20 Watermill PL
Palm Coast, FL 32164-7645
Mailing address
20 Watermill PL
Palm Coast, FL 32164-7645
Phone (386) 986-3079
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 |
|---|---|---|---|
| G623053418630 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306824537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WATERMILL PL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647645",
"telephone_number": "386-986-3079",
"fax_number": "386-986-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WATERMILL PL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647645",
"telephone_number": "386-986-3079",
"fax_number": "386-986-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAGHTY",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "G623053418630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.