NPIMap

Organization Active NPI

Gastroenterology Associates of Florida LLC

  • Gastroenterology Physician
  • Atlantis, FL
National Provider Identifier
1700382736
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY ASSOCIATES OF FLORIDA LLC
Practice address
5401 S Congress Ave Ste 211
Atlantis, FL 33462-6637
Phone
(561) 964-8221
Fax
(561) 964-7393
NPI assigned
Mar 30, 2018
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Kristina Kay Lowery
Title
Credentialing Manager
Phone
(469) 930-3077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

5401 S Congress Ave Ste 211
Atlantis, FL 33462-6637

Mailing address

5401 S Congress Ave Ste 211
Atlantis, FL 33462-6637
Phone (561) 964-8221

Other practice location 1

10115 Forest Hill Blvd Ste 200
Wellington, FL 33414-3104
Phone (561) 964-8221

Other practice location 2

500 University Blvd Ste 116
Jupiter, FL 33458-2774
Phone (561) 964-8221

Other identifiers 1

IdentifierTypeStateIssuer
S351797620950OtherFLFLORIDA DRIVERS LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180820003394 FL Part B Supplier - Clinic/Group Practice 9335498633 Receives reassigned benefits from 16 practitioners
5 other NPIs on this enrollment
Practice locations: Atlantis, FL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5401 S Congress Ave
Ste 211
Lake Worth, FL 33462
Phone (561) 335-5444

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1700382736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 211",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-964-8221",
            "fax_number": "561-964-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 211",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-964-8221",
            "fax_number": "561-964-7393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10115 Forest Hill Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334143104",
            "country_code": "US",
            "telephone_number": "561-964-8221",
            "fax_number": "561-964-7393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Blvd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582774",
            "country_code": "US",
            "telephone_number": "561-964-8221",
            "fax_number": "561-964-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-930-3077"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DRIVERS LICENSE",
            "identifier": "S351797620950",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.