Organization Active NPI

Primary Care Associates of Putnam County, PA

  • Family Medicine Physician
  • Palatka, FL
National Provider Identifier
1396713558
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0044398 Issued in FL
Legal business name
PRIMARY CARE ASSOCIATES OF PUTNAM COUNTY, PA
Practice address
108 N Palm Ave
Palatka, FL 32177-2626
Phone
(386) 325-9008
Fax
(386) 325-7098
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Gina Christopher, APRNNPI 1679729248
Title
President
Phone
(386) 325-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0044398 FL Primary

Addresses

Primary practice location

108 N Palm Ave
Palatka, FL 32177-2626

Mailing address

108 N. Palm Ave.
Palatka, FL 32177-2626
Phone (386) 325-9008

Other names 1

  • Primary Care Associates of Putnam County, P.A. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000204 FL Part B Supplier - Clinic/Group Practice 6305876210 Receives reassigned benefits from 2 practitioners
Practice locations: Palatka, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1105675Primary Care Associates of Putnam County PA108 N Palm Ave, Palatka, FL 32177Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

530 Zeagler Dr
Ste B
Palatka, FL 32177
Phone (386) 325-9008

108 N Palm Ave
Palatka, FL 32177
Phone (386) 325-9008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1396713558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N. PALM AVE.",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772626",
            "telephone_number": "386-325-9008",
            "fax_number": "386-325-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N PALM AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772626",
            "telephone_number": "386-325-9008",
            "fax_number": "386-325-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF PUTNAM COUNTY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-325-9008",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0044398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Associates of Putnam County, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.