NPIMap

Individual provider Active NPI

Jonathan P Calvarese, PA-C

  • Physician Assistant
  • Semmes, AL
National Provider Identifier
1316373343
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7943 Moffett Rd
Semmes, AL 36575-5409
Phone
(251) 633-0123
NPI assigned
Sep 23, 2013
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

7943 Moffett Rd
Semmes, AL 36575-5409

Mailing address

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

Other practice location 1

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 969-2226

Other names 1

  • Jonathan P Calvarese Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131017001655 FL Practitioner - Physician Assistant 1850525288
I20151124001054 AL Practitioner - Physician Assistant 1850525288 Reassigns benefits to 6 organizations
I20240624000833 ND Practitioner - Physician Assistant 1850525288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Gmuc of Citronelle LLCGroup PAC ID 8426210014, 11 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

19355 N 3Rd St
Citronelle, AL 36522-2049
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Mobile Urgent Care CurrentSince Nov 1, 2015 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Alabama CVS Pharmacy LLC Past Accepting new patients

Locations

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Interoperability endpoints

  • Direct secure messaging: jonathan.calvarese@hca5.eclinicaldirectplus.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1316373343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7943 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365755409",
            "telephone_number": "251-633-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7943 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365755409",
            "telephone_number": "251-633-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146050",
            "country_code": "US",
            "telephone_number": "850-969-2226",
            "fax_number": "850-969-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVARESE",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "CALVARESE",
            "middle_name": "P",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Semmes, AL

Sources for this page

Verify at the official NPI Registry.