Organization Active NPI

J.P.Gadikota Corp

  • Primary Care Clinic/Center
  • Ocala, FL
National Provider Identifier
1407159031
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME106624 Issued in FL
Legal business name
J.P.GADIKOTA CORP
Practice address
40 SW 12TH St
Suite 101 B
Ocala, FL 34471-6525
Phone
(352) 622-1344
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Jaya Prakash Gadikota
Title
MD
Phone
(352) 281-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME106624 FL Primary

Addresses

Primary practice location

40 SW 12TH St
Suite 101 B
Ocala, FL 34471-6525

Mailing address

40 SW 12TH St
Suite 101 B
Ocala, FL 34471-6525
Phone (352) 622-1344

Other identifiers 1

IdentifierTypeStateIssuer
002441600MedicaidFL

National Provider Directory

National Provider Directory

Locations

40 SW 12th St
Ste 101B
Ocala, FL 34471
Phone (352) 622-1344

Practitioners & affiliated clinicians

Practitioners 1

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1407159031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SW 12TH ST",
            "address_2": "SUITE 101 B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716525",
            "telephone_number": "352-622-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SW 12TH ST",
            "address_2": "SUITE 101 B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716525",
            "telephone_number": "352-622-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.P.GADIKOTA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "GADIKOTA",
        "authorized_official_first_name": "JAYA PRAKASH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-281-4323"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME106624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002441600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.