Michelle Patricia Gillespie, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11356 Issued in FL

Practice address

124 Miracle Strip Pkwy SW
Unit 1203
Fort Walton Beach, FL 32548-6650

Phone

(954) 232-6754

NPI assigned

Aug 25, 2009

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment
• Michelle P Gillespie DO PA

  • Medical Specialty Clinic/Center
  • Tampa, FL
  • NPI 1841809076
  Authorized official Same address or phone
• Bayne Jones Army Community Hospital

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1831586312

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1518190503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MIRACLE STRIP PKWY SW",
            "address_2": "UNIT 1203",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486650",
            "telephone_number": "954-232-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MIRACLE STRIP PKWY SW",
            "address_2": "UNIT 1203",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486650",
            "telephone_number": "954-232-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "MICHELLE",
        "middle_name": "PATRICIA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Gerdes, MS CF SLP
• Mishela Gevorkyan
• David Gibson II, PHARMD
• Travoy Giles
• Chelsey Nicole Gillespie
• Susan Renee Gillespie, ARNP-BC
• Barbara Jane Gilley, RPH
• Deborah Lynn Gilmore, ARNP
• Sonya Gilmore
• Stephen R Gilmore, MD

• Internal Medicine Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.