Individual provider Active NPI

Holly Elizabeth Gay, APRN-C

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1649941139
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015568 Issued in FL
Practice address
107 W 19TH St
Panama City, FL 32405-4647
Phone
(850) 248-8002
Fax
(850) 248-8007
NPI assigned
Sep 23, 2021
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015568 FL Primary

Addresses

Primary practice location

107 W 19TH St
Panama City, FL 32405-4647

Mailing address

107 W 19TH St Ste B
Panama City, FL 32405-4647
Phone (850) 248-8002

Other identifiers 1

IdentifierTypeStateIssuer
APRN11015568OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240801001459 FL Practitioner - Nurse Practitioner 8325585888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 W 19TH St
Suite B
Panama City, FL 32405-4647
Phone (850) 248-8002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015568FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Breeze Primary Care, LLC CurrentSince Jan 1, 2025 Accepting new patients
Access Point Health Group, LLC PastSince Jun 21, 2022 Accepting new patients
Access Point Healthcare Urgent Care LLC PastSince Apr 24, 2022 Accepting new patients

Locations

107 W 19th St
Panama City, FL 32405
Phone (850) 248-8002

107 W 19th St
Ste B
Panama City, FL 32405
Phone (850) 248-8002

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29184/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1649941139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 19TH ST STE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054647",
            "telephone_number": "850-248-8002",
            "fax_number": "850-248-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054647",
            "telephone_number": "850-248-8002",
            "fax_number": "850-248-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN11015568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.