NPIMap

Organization Active NPI

Accent Physician Specialists, P.a.

Doing business as Accent Physician Specialists

  • Otolaryngology/Facial Plastic Surgery Physician
  • Lake City, FL
National Provider Identifier
1376970731
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
ACCENT PHYSICIAN SPECIALISTS, P.A.
Doing business as
Accent Physician Specialists
Practice address
2086 SW Main Blvd Ste 103
Lake City, FL 32025-0006
Phone
(352) 372-9414
Fax
(352) 271-5393
NPI assigned
Oct 1, 2013
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ACCENT PHYSICIAN SPECIALISTS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Amber Dockeney
Title
Credentialing Supervisor
Phone
(352) 372-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Primary

Addresses

Primary practice location

2086 SW Main Blvd Ste 103
Lake City, FL 32025-0006

Mailing address

4340 Newberry Rd.
Suite 301
Gainesville, FL 32607-2557
Phone (352) 372-9414

Other names 1

  • Accent Physician Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000202 FL Part B Supplier - Clinic/Group Practice 4082686951 Receives reassigned benefits from 18 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gainesville, FL; Lake City, FL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Accent Physician Specia2 organizations share this tax ID, including this one
Part of
Accent Physician Specia

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

790 SE 5th Ter
Crystal River, FL 34429
Phone (352) 794-0011

4340 Newberry Rd
Ste 203
Gainesville, FL 32607
Phone (352) 222-9051

4340 Newberry Rd
Ste 301
Gainesville, FL 32607

8000 NW 27th Blvd
Apt A
Gainesville, FL 32606

2250 Highway 44 W
#1
Inverness, FL 34453
Phone (352) 726-6622

438 SW Perimeter Gln
#100
Lake City, FL 32025

4447 NW American Ln
Ste 102
Lake City, FL 32055
Phone (352) 331-3332

1548B S Water St
Starke, FL 32091
Phone (352) 346-3127

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1376970731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 NEWBERRY RD.",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 SW MAIN BLVD STE 103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250006",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCENT PHYSICIAN SPECIALISTS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCENT PHYSICIAN SPECIALISTS, P.A.",
        "enumeration_date": "2013-10-01",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "DOCKENEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "352-372-9414"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accent Physician Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.