Active NPI
Jack C McGeachy, M.D.
- Emergency Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME133076
- Practice address
- 17 Davis Blvd Ste 308
Tampa, FL 33606-3438 - Phone
- (813) 627-5931
- Fax
- (813) 254-6440
- NPI assigned
- Apr 8, 2015
- Last updated
- Mar 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME133076 | FL | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME133076 | FL |
Addresses
Primary practice location
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Mailing address
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 627-5931
Other practice location 1
3500 E Fletcher Ave Ste 201
Tampa, FL 33613-4795
Phone (813) 997-7942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Florida College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 576-5400
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (936) 240-1639
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| North Tampa Executive Health, PLLC | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Emergency Medicine | Current | Accepting new patients |
| Emerald Coast Management Solutions LLC | Emergency Medicine | Current | Accepting new patients |
| Carrollton Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
303 N Clyde Morris Blvd
Fl First
Daytona Beach, FL 32114
Phone (386) 425-6198
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
3500 E Fletcher Ave
Ste 201
Tampa, FL 33613
Phone (813) 753-8836
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Marianna, FL
- NPI 1659117430
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Carrollton, GA
- NPI 1790724672
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Emergency Medicine
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Adult Mental Health Clinic/Center
- Tampa, FL
- NPI 1144924754
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
-
dba Tanner Health System
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
dba Tanner Health System
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1467848218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD STE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063438",
"telephone_number": "813-627-5931",
"fax_number": "813-254-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 DAVIS BLVD STE 308",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063438",
"telephone_number": "813-627-5931",
"fax_number": "813-254-6440"
}
],
"practiceLocations": [
{
"address_1": "3500 E Fletcher Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336134795",
"country_code": "US",
"telephone_number": "813-997-7942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGEACHY",
"first_name": "JACK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME133076",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "ME133076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.