Organization Active NPI

Gearity Wellness Center, LLC

  • Adult Medicine Physician
  • Orlando, FL
National Provider Identifier
1497323125
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
GEARITY WELLNESS CENTER, LLC
Practice address
3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone
(407) 418-9122
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Carly McDonah
Title
Credentialing Manager
Phone
(407) 857-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

3000 Hunters Creek Blvd
Orlando, FL 32837-6901

Mailing address

3000 Hunters Creek Blvd
Orlando, FL 32837-6901
Phone (407) 857-2502

Other practice location 1

10775 Narcoossee Rd Ste 206
Orlando, FL 32832-7177
Phone (407) 418-9122

Other practice location 2

2914 17th St
Saint Cloud, FL 34769-6018
Phone (407) 418-9122

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.gearitywellness.com/contactus Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2167072Gearity Wellness Center LLC10775 Narcoossee Rd Suite 210, Orlando, FL 32832Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory

Locations

10775 Narcoossee Rd
Ste 206
Orlando, FL 32832
Phone (407) 418-9122

2914 17th St
Saint Cloud, FL 34769
Phone (407) 498-3076

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22140/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1497323125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HUNTERS CREEK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376901",
            "telephone_number": "407-857-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HUNTERS CREEK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376901",
            "telephone_number": "407-418-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10775 Narcoossee Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328327177",
            "country_code": "US",
            "telephone_number": "407-418-9122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2914 17th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696018",
            "country_code": "US",
            "telephone_number": "407-418-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEARITY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "MCDONAH",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "407-857-2502"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.gearitywellness.com/contactus",
            "affiliation": "N",
            "endpointDescription": "Contact Us",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website Contact Form",
            "address_1": "3000 Hunters Creek Blvd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328376901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.