Jamison Eli Gaddy, PA-C
Individual provider Active NPI Physician Assistant · Fort Hood, TX
NPI 1528236809 · NPPES record last updated Feb 20, 2008
Key facts
- NPI
- 1528236809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- Carl R. Darnell Army Medical Center
36000 Darnell Loop
Fort Hood, TX 76544 - Phone
- (254) 371-6030
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
236 Lyla LN
Crestview, FL 32539-7424
508 Blackwater Run
Niceville, FL 32578-1643
Hospital & facility affiliations
- HCA Florida Fort Walton-Destin Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190115001432 | FL | Practitioner - Physician Assistant | 3274703608 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care to You | Current |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBGDDD/Endpoint/BBGDDD
- jamison.gaddy@hca5.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
Carl R. Darnell Army Medical Center
36000 Darnell Loop
Fort Hood, TX 76544
Mailing address
Carl R. Darnall Army Medical Center
36000 Darnall Loop
Fort Hood, TX 76544
Phone (254) 371-6030
Other providers in Fort Hood, TX
- Ramon E. Fry II
- Sara Fry
- Ibifiri Stella Fubara
- Debra Fudge
- Everett Tomio Fuller
- Susan Jennifer Gallup
- Kimberly Ann Galvan
- Mariano Francisco Gamarra Olivera
- Charles Gang
- Zachariah Ganger
All providers in Fort Hood, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.