Avecina Medical, PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AVECINA MEDICAL, PA

Practice address

7011 W Newberry Rd Ste B
Gainesville, FL 32605-4470

Phone

(904) 547-2574

Fax

(352) 554-4344

NPI assigned

Jan 16, 2024

Organization subpart

Yes

Parent organization

AVECINA MEDICAL, PAAs reported in NPPES

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

Authorized official

Name

Amanda Moretti Kight

Title

Billing Manager

Phone

(904) 367-3372

Specialties & licenses 1

Addresses

Part of

Avecina Medical PA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maeve M Donaldson, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1619377744
  NPD
• Amy A Haney, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1891737177
  NPD
• Carmen S Owens, FNP-C

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1457504052
  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1710758990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 SWEETGRASS PL STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240131",
            "telephone_number": "904-367-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 W NEWBERRY RD STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054470",
            "telephone_number": "904-547-2574",
            "fax_number": "352-554-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVECINA MEDICAL, PA",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-07-29",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MORETTI KIGHT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-367-3372"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autism Behavioral Consulting Services, LLC
• Michael Douglas Autry
• Avant Garde Salon
• Eugerta Avdulaj
• Avecina Medical, PA
• Ashton Avera
• Robert N Averbuch, MD
• Leann Marie Averell, L.M.T.
• Jason A Avery, LMHC
• K. Leslie Avery, M.D.

• Urgent Care Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.