Korina Jade Nance, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111950 Issued in FL

Practice address

2020 59TH St W
Bradenton, FL 34209-4604

Phone

(706) 863-9595

Fax

(706) 447-7112

NPI assigned

Jan 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Bayside Urgent Care Center Inc.

  • Urgent Care Clinic/Center
  • Clearwater, FL
  • NPI 1619257755
  Medicare reassignment
• Renew Wound Care of Florida LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1811631591
  Medicare reassignment
• Smart ER Urgent Care LLC

  • Urgent Care Clinic/Center
  • Clearwater, FL
  • NPI 1710615232
  Medicare reassignment
• Gold Primary Care, LLC

  • Primary Care Clinic/Center
  • Belleair, FL
  • NPI 1811367923
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1477027266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3725",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143725",
            "telephone_number": "706-863-9595",
            "fax_number": "706-447-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094604",
            "telephone_number": "706-863-9595",
            "fax_number": "706-447-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "KORINA",
        "middle_name": "JADE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sajeevakumar Krishnan Nair, M.D.
• Gina Najafi
• Bryan Najjar, PA
• Nalin LLC
• Agnes V Nall, M.D.
• Nancy M Perron, DMD, PLLC
• Valeria Napoles
• Aruna Narasimman, M.D.
• Adolfo Leon Narvaez, M.D.
• Rafat S Nashed, MD

• Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.