Individual provider Active NPI

Jennifer Rae Gerges, MPAS, PA-C

  • Physician Assistant
  • Plant City, FL
National Provider Identifier
1508884461
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
FLPA9101586 Issued in FL
Practice address
508 N Maryland Ave.
Plant City Family Care
Plant City, FL 33563
Phone
(813) 349-7600
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FLPA9101586 FL Primary
Medical Physician Assistant 363AM0700X PA9101586 FL

Addresses

Primary practice location

508 N Maryland Ave.
Plant City Family Care
Plant City, FL 33563

Mailing address

3123 Olivia CT
Land O Lakes, FL 34638
Phone (813) 503-8217

Other identifiers 1

IdentifierTypeStateIssuer
291018700MedicaidFL

Other names 1

  • Jennifer Rae Curtis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FLPA9101586FLMDPhysician Assistant
PA9101586FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Drive Emergency Physicians LLC Past Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1508884461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 OLIVIA CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "34638",
            "telephone_number": "813-503-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N MARYLAND AVE.",
            "address_2": "PLANT CITY FAMILY CARE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33563",
            "telephone_number": "813-349-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGES",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "FLPA9101586",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291018700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CURTIS",
            "middle_name": "RAE",
            "credential": "MPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.