Individual provider Active NPI

Nina D Garcia, P.A.

  • Medical Physician Assistant
  • Columbia, MD
National Provider Identifier
1508926817
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C04754 Issued in MD
Practice address
8850 Columbia 100 Pkwy Ste 316
Columbia, MD 21045-2377
Phone
(443) 542-0505
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C04754 MD Primary

Addresses

Primary practice location

8850 Columbia 100 Pkwy Ste 316
Columbia, MD 21045-2377

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131102000241 MD Practitioner - Physician Assistant 5698900470 Reassigns benefits to 1 organization
I20191116000138 DC Practitioner - Physician Assistant 5698900470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians

Practice addresses (Care Compare)

174 Waterfront St
Suite 200
Oxon Hill, MD 20745-1164
Phone (240) 493-8447

2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
78.27
Promoting interoperability
91
Improvement activities
20
Cost
74.08

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC CurrentSince Mar 1, 2017 Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince Mar 1, 2017 Accepting new patients
Englert Dermatology, LLC Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

3445 Box Hill Corporate Center Dr
Ste E
Abingdon, MD 21009
Phone (410) 472-1006

200 Harry S Truman Pkwy
Annapolis, MD 21401
Phone (410) 224-8220

10153 York Rd
Ste 104
Hunt Valley, MD 21030
Phone (410) 472-0901

174 Waterfront St
Ste 200
Oxon Hill, MD 20745
Phone (240) 493-8447

2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

4660 Kenmore Ave
Ste 1100
Alexandria, VA 22304
Phone (703) 370-0073

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1508926817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY STE 316",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452377",
            "telephone_number": "443-542-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NINA",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C04754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.