NPIMap

Individual provider Active NPI

Carolyn Geis, MD

  • Physical Medicine & Rehabilitation Physician
  • Gainesville, FL
National Provider Identifier
1518020684
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME76387 Issued in FL
Practice address
3450 Hull Road
Gainesville, FL 32611-2765
Phone
(352) 273-7461
Fax
(352) 273-7388
NPI assigned
Dec 19, 2006
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME76387 FL Primary

Addresses

Primary practice location

3450 Hull Road
Gainesville, FL 32611-2765

Mailing address

PO Box 112727
Gainesville, FL 32611-2727
Phone (352) 273-7461

Other identifiers 1

IdentifierTypeStateIssuer
255509300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070706000151 FL Practitioner - Physical Medicine and Rehabilitation 5395845275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical Branch at Galveston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

201 N Clyde Morris Blvd
Suite 120
Daytona Beach, FL 32114-2765
Phone (386) 425-4641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
85.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 9, 2019 Accepting new patients
Halifax Healthcare Systems Inc Physical Medicine & Rehabilitation CurrentSince Apr 1, 2007 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 9, 2019 Accepting new patients
Physical Medicine Specialists, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 2, 2023 Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients

Locations

201 N Clyde Morris Blvd
Ste 120
Daytona Beach, FL 32114
Phone (386) 254-4029

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3450 Hull Rd
Gainesville, FL 32607
Phone (352) 273-7002

3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: carolyn.geis.1@16462.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1518020684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112727",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112727",
            "telephone_number": "352-273-7461",
            "fax_number": "352-273-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 HULL ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112765",
            "telephone_number": "352-273-7461",
            "fax_number": "352-273-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIS",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-10-12",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME76387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255509300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.