NPIMap

Individual provider Active NPI

Alex G Rafanan, P. A.-C.

  • Medical Physician Assistant
  • Gainesville, FL
National Provider Identifier
1679518500
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1929 Issued in FL
Practice address
4340 W Newberry Rd
Suite 301
Gainesville, FL 32607-2557
Phone
(352) 372-9414
Fax
(352) 271-5393
NPI assigned
Jun 17, 2006
Last updated
Sep 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1929 FL Primary

Addresses

Primary practice location

4340 W Newberry Rd
Suite 301
Gainesville, FL 32607-2557

Mailing address

4340 W Newberry Rd
Suite 301
Gainesville, FL 32607-2557
Phone (352) 372-9414

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
I20100324000696 FL Practitioner - Physician Assistant 8123153517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Accent Physician Specialists PAGroup PAC ID 4082686951, 16 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

4340 Newberry Rd
Suite 301
Gainesville, FL 32607-2557
Phone 3523729414265

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1929FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Accent Physician Specialists PA CurrentSince Sep 26, 2000 Accepting new patients
Accent Physician Specialists, P.a. CurrentSince Sep 26, 2000 Accepting new patients

Locations

4340 Newberry Rd
Ste 301
Gainesville, FL 32607

2086 SW Main Blvd
Ste 103
Lake City, FL 32025
Phone (352) 283-0595

1548B S Water St
Starke, FL 32091
Phone (352) 346-3127

Interoperability endpoints

  • Direct secure messaging: alexrafanan@accent.allscriptsdirect.net

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 10

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1679518500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-372-9414",
            "fax_number": "352-271-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFANAN",
        "first_name": "ALEX",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "P. A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA1929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.