Individual provider Active NPI

Christy Joseph, PA-C

  • Physician Assistant
  • The Villages, FL
National Provider Identifier
1396150868
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113404 Issued in FL
Practice address
8620 E County Road 466
The Villages, FL 32162-3670
Phone
(352) 399-7295
Fax
(352) 399-7294
NPI assigned
Jun 24, 2014
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113404 FL Primary
Physician Assistant 363A00000X 25MP00348200 NJ
Physician Assistant 363A00000X 017738 NY

Addresses

Primary practice location

8620 E County Road 466
The Villages, FL 32162-3670

Mailing address

8620 E County Road 466
The Villages, FL 32162-3670
Phone (352) 399-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210312000492 FL Practitioner - Physician Assistant 0143540344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliant Dermatology PAGroup PAC ID 9436305273, 12 clinicians

Practice addresses (Care Compare)

8620 A E County Rd
Suite 466
The Villages, FL 32162-3670
Phone (352) 399-7295

Merit-based Incentive Payment System (MIPS)

Final score
72.36 of 100Reported as group
Quality
55.49
Promoting interoperability
100
Improvement activities
40
Cost
52.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017738NYMDPhysical Therapist
PA9113404FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allen N. Sapadin, M.D., LLC Past Accepting new patients
Creekside Dermatology PA PastSince Apr 6, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christyj@alliantderm.emadirect.md

Organizations & group practices 3

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1396150868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 E COUNTY ROAD 466",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623670",
            "telephone_number": "352-399-7295",
            "fax_number": "352-399-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 E COUNTY ROAD 466",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623670",
            "telephone_number": "352-399-7295",
            "fax_number": "352-399-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "CHRISTY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113404",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00348200",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.