Active NPI
Gearity Wellness Center, LLC
- Adult Medicine Physician
- Orlando, FL
National Provider Identifier
1497323125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.gearitywellness.com/contactus | Health Information Exchange (HIE) |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2167072 | Gearity Wellness Center LLC | Certificate of waiver | May 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.