Individual provider Active NPI

Amir Akhavan-Yazdi, APRN

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1679109748
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007455 Issued in FL
Practice address
6400 W Newberry Road
Suite 302
Gainesville, FL 32605
Phone
(352) 331-8902
Fax
(352) 224-1094
NPI assigned
Mar 20, 2020
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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 APRN11007455 FL Primary

Addresses

Primary practice location

6400 W Newberry Road
Suite 302
Gainesville, FL 32605

Mailing address

6400 W Newberry Road
Suite 302
Gainesville, FL 32605
Phone (352) 331-8902

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
I20201029001346 FL Practitioner - Nurse Practitioner 7416367644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease AssociatesGroup PAC ID 2365425816, 27 clinicians

Practice addresses (Care Compare)

6400 W Newberry Rd
Suite 308
Gainesville, FL 32605-6604

6400 W Newberry Rd
Suite 308
Gainesville, FL 32605-6609
Phone (352) 331-8902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.47 of 100Reported as group
Quality
69.28
Promoting interoperability
72
Improvement activities
30
Cost
81.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007455FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates CurrentSince Oct 1, 2021 Accepting new patients

Locations

6400 W Newberry Rd
Ste 302
Gainesville, FL 32605
Phone (352) 331-8902

6400 W Newberry Rd
Ste 308
Gainesville, FL 32605
Phone (352) 331-8902

Interoperability endpoints

  • Direct secure messaging: amirakhavan-yazdi@dda.allscriptsdirect.net

Organizations & group practices 1

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1679109748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY ROAD",
            "address_2": "SUITE 302",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-8902",
            "fax_number": "352-224-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY ROAD",
            "address_2": "SUITE 302",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-8902",
            "fax_number": "352-224-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHAVAN-YAZDI",
        "first_name": "AMIR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.