Individual provider Active NPI

Jason Gary Lunsford, PA-C

  • Physician Assistant
  • Gulf Breeze, FL
National Provider Identifier
1679628556
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108485 Issued in FL
Practice address
1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809
Phone
(850) 916-3700
Fax
(850) 916-3710
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1073878
Physician Assistant 363A00000X PA9108485 FL Primary

Addresses

Primary practice location

1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809

Mailing address

PO Box 30532
Pensacola, FL 32503-1532
Phone (850) 478-1312

Other identifiers 4

IdentifierTypeStateIssuer
Y0R57OtherFLBLUE CROSS BLUE SHIELD
172374MedicaidAL
014787900MedicaidFL
593-16867OtherALBLUE CROSS BLUE SHIELD

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
I20150603003034 FL Practitioner - Physician Assistant 7618298514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7808
Phone (850) 916-3700

11945 San Jose Blvd
Jacksonville, FL 32223-1627
Phone (904) 396-1725

4304 N Davis Hwy
Suite a
Pensacola, FL 32503-2754
Phone (850) 916-3700

Hospital & facility affiliations

  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9108485FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Nov 1, 2023 Accepting new patients
North Florida Surgeons, PA CurrentSince Nov 1, 2023 Accepting new patients

Locations

1040 Gulf Breeze Pkwy
Ste 207
Gulf Breeze, FL 32561
Phone (850) 934-3756

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

4304 N Davis Hwy
Ste A
Pensacola, FL 32503

4406 N Davis Hwy
Pensacola, FL 32503
Phone (850) 434-1570

1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711

Interoperability endpoints

  • Direct secure messaging: jason.lunsford.1@9109.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1679628556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30532",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031532",
            "telephone_number": "850-478-1312",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY",
            "address_2": "SUITE 200",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617809",
            "telephone_number": "850-916-3700",
            "fax_number": "850-916-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "JASON",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "1073878",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y0R57",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172374",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014787900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "593-16867",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.