Gregory Jay Darby Sr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1800 Issued in FL

Practice address

4343 W Newberry Rd
Gainesville, FL 32607-2817

Phone

(352) 373-4321

Fax

(352) 373-0555

NPI assigned

Sep 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1376539379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-373-6338",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072817",
            "telephone_number": "352-373-4321",
            "fax_number": "352-373-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "GREGORY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-25",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA1800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Elizabeth Daniels, DMD
• Gayathri Dantu, MBBS (MD)
• Alexandria Danyluk, MEDICAL STUDENT
• Alexander Abel Daoud, M.D.
• Beree R. Darby, PH.D.
• Dijoia Darden, M.D.
• Markeisha Dardy
• Christy Darji
• Iris Kathleen Darst, MOT
• Jessica Marie Darusz, MD

• Medical Physician Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.