Individual provider Active NPI

Jed Oliver Galasso, PA-C

  • Physician Assistant
  • Palm Coast, FL
National Provider Identifier
1477006575
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109644 Issued in FL
Practice address
145 City PL Ste 201
Palm Coast, FL 32164-2480
Phone
(904) 819-2999
Fax
(904) 819-8299
NPI assigned
Jul 26, 2016
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 PA9109644 FL Primary

Addresses

Primary practice location

145 City PL Ste 201
Palm Coast, FL 32164-2480

Mailing address

PO Box 112727
Gainesville, FL 32611-2727
Phone (352) 273-7002

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-2480
Phone (352) 273-7002

Other practice location 2

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

Other practice location 3

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Other practice location 4

120 Health Park Blvd
St Augustine, FL 32086-3701
Phone (888) 481-2135

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
I20160912000506 FL Practitioner - Physician Assistant 8123314598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

120 Health Park Blvd
Suite 1
Saint Augustine, FL 32086-5798
Phone (888) 481-2135

145 City PL
Suite 201
Palm Coast, FL 32164-2480
Phone (888) 481-2135

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 823-1447

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9109644FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc CurrentSince May 19, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince May 13, 2020 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince May 13, 2020 Accepting new patients
Adventhealth Primary Care Network Inc Past Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

145 City Pl
Ste 201
Palm Coast, FL 32164
Phone (386) 627-7318

351 Town Plaza Ave
Ste 201
Ponte Vedra, FL 32081
Phone (888) 481-2135

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jgalasso183896@direct.shands.ufl.edu

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1477006575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112727",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112727",
            "telephone_number": "352-273-7002",
            "fax_number": "352-273-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CITY PL STE 201",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642480",
            "telephone_number": "904-819-2999",
            "fax_number": "904-819-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326102480",
            "country_code": "US",
            "telephone_number": "352-273-7002",
            "fax_number": "352-273-7388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-323-5762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320863701",
            "country_code": "US",
            "telephone_number": "888-481-2135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALASSO",
        "first_name": "JED",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.