Active NPI
Gainesville Pediatric Associates Inc
- Pediatrics Physician
- Gainesville, FL
National Provider Identifier
1710050596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GAINESVILLE PEDIATRIC ASSOCIATES INC
- Practice address
- 6440 W Newberry Road
Suite 402
Gainesville, FL 32605 - Phone
- (352) 333-5500
- Fax
- (352) 333-5506
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael W Wyatt, MD
- Title
- President
- Phone
- (352) 333-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
6440 W Newberry Road
Suite 402
Gainesville, FL 32605
Mailing address
6440 W Newberry Road
Suite 402
Gainesville, FL 32605
Phone (352) 333-5500
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0271787 | Gainesville Pediatric Associates | Compliance | Apr 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
6440 W Newberry Rd
Ste 402
Gainesville, FL 32605
Phone (352) 332-5500
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Gainesville, FL
- NPI 1306834403
-
- Pediatric Adolescent Medicine Physician
- Gainesville, FL
- NPI 1003892910
Pediatrics
-
- Pediatrics Physician
- Gainesville, FL
- NPI 1093747552
-
- Pediatrics Physician
- Gainesville, FL
- NPI 1568449254
-
- Pediatrics Physician
- Gainesville, FL
- NPI 1588069835
-
- Pediatric Adolescent Medicine Physician
- Gainesville, FL
- NPI 1407832538
-
- Family Nurse Practitioner
- Gainesville, FL
- NPI 1801471719
-
- Pediatrics Physician
- Gainesville, FL
- NPI 1306823604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710050596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 W NEWBERRY ROAD",
"address_2": "SUITE 402",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-333-5500",
"fax_number": "352-333-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 W NEWBERRY ROAD",
"address_2": "SUITE 402",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-333-5500",
"fax_number": "352-333-5506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINESVILLE PEDIATRIC ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WYATT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-333-5500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Gainesville Oral and Implant Surgery, PA
- Gainesville Orthotic Therapy
- Gainesville Otolaryngology GRP
- Gainesville Outpatient Anesthesia PA
- Gainesville Pathology Group
- Gainesville Pediatric Medicine, PA
- Gainesville Peer Respite, Inc.
- Gainesville Physical Therapy & Wellness LLC
- Gainesville Physical Therapy and Rehabilitation Services Inc
- Gainesville Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.