Individual provider Active NPI

Geneva Durnbaugh, PA-C

  • Medical Physician Assistant
  • Pinellas Park, FL
National Provider Identifier
1396571980
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
7995 66TH St N
Pinellas Park, FL 33781-2163
Phone
(727) 530-0920
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X FL Primary

Addresses

Primary practice location

7995 66TH St N
Pinellas Park, FL 33781-2163

Mailing address

6701 100TH Ave N
Pinellas Park, FL 33782-2924
Phone (727) 488-0749

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
I20250911003952 FL Practitioner - Physician Assistant 0840793279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahoney Dermatology Specialists PAGroup PAC ID 0244327542, 5 clinicians

Practice addresses (Care Compare)

7995 66TH St N
Suite B
Pinellas Park, FL 33781-2163
Phone (727) 530-0920

7995 66TH St N B
Pinellas Park, FL 33781-2163

National Provider Directory

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIDAA/Endpoint/ACIDAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1396571980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 100TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822924",
            "telephone_number": "727-488-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7995 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812163",
            "telephone_number": "727-530-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURNBAUGH",
        "first_name": "GENEVA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.