Individual provider Active NPI

Dawnta J Gaines, PA-C

  • Physician Assistant
  • Laurel, MD
National Provider Identifier
1447438304
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003667 Issued in MD
Practice address
3357B Corridor Marketplace
Laurel, MD 20724-2381
Phone
(301) 497-1820
Fax
(301) 497-5489
NPI assigned
Feb 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003667 MD Primary

Addresses

Primary practice location

3357B Corridor Marketplace
Laurel, MD 20724-2381

Mailing address

PO Box 759047
Baltimore, MD 21275-9047
Phone (804) 822-4355

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
I20161114000682 FL Practitioner - Physician Assistant 3072681550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians

Practice addresses (Care Compare)

240 Crandon Blvd
Suite 110
Key Biscayne, FL 33149-1543
Phone (786) 595-8250

5673 Coral Ridge Dr
Coral Springs, FL 33076-3124
Phone (954) 837-1480

6264 W Sample Rd
Coral Springs, FL 33067-3273

8725 SW 136TH St
Miami, FL 33176-5814

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Sep 20, 2016 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Physicians Medical Health Group PC Past Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Organizations & group practices 4

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": "1201996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1447438304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759047",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212759047",
            "telephone_number": "804-822-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357B CORRIDOR MARKETPLACE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242381",
            "telephone_number": "301-497-1820",
            "fax_number": "301-497-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "DAWNTA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-03",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.