Active NPI
David Gonnella
- Physician Assistant
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114776
- Practice address
- 930 Marcum Rd Ste 10
Lakeland, FL 33809-4308 - Phone
- (863) 284-6800
- NPI assigned
- Jul 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9114776 | FL | |
| Physician Assistant | 363A00000X | PA9114776 | FL | Primary |
Addresses
Primary practice location
930 Marcum Rd Ste 10
Lakeland, FL 33809-4308
Mailing address
13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848
Other practice location 1
13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112389500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | David.GonnellaPA-C@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10125 Big Bend Rd
Riverview, FL 33578-7417
Phone (813) 605-3200
1155 S Dale Mabry Hwy
Tampa, FL 33629-5035
Phone (813) 609-3666
13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848
149 N St
Waterville, ME 04901
Phone (207) 872-1000
1599 66TH St N
St Petersburg, FL 33710-5536
Phone (727) 317-3388
1601 W Timberlane Dr
Suite 100
Plant City, FL 33566-0957
Phone (813) 567-0020
18610 Fernview St
Land O Lakes, FL 34638-6212
Phone (813) 692-8080
211 Main St
Waterville, ME 04901-6117
Phone (207) 877-3400
2331 4TH St N
St Petersburg, FL 33704-2801
Phone (727) 914-8566
2442 Bloomingdale Ave
Valrico, FL 33596-6403
Phone (813) 586-8686
2645 S Florida Ave
Lakeland, FL 33803-3829
Phone (863) 606-6880
36245 Hwy 27
Haines City, FL 33844-3744
Phone (863) 866-9933
400 1St St N
Winter Haven
Winter Haven, FL 33881-4115
Phone (863) 299-2420
4821 US Hwy 19
Suite 5
New Port Richey, FL 34652-4259
Phone (727) 851-9650
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Baycare Urgent Care, LLC | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Bldg 2ND
Clearwater, FL 33759
2995 Drew St
Fl 3
Clearwater, FL 33759
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848
4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848
15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500
10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Networks
- Freedom Health HMO Network
Interoperability endpoints
- david.gonnellapa-c@direct.mybaycare.org
- davidgonnella@mgh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- General Practice Physician
- Largo, FL
- NPI 1184677007
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Physician Assistant
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1760834386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13670 WALSINGHAM RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337743532",
"telephone_number": "727-593-9848",
"fax_number": "727-596-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MARCUM RD STE 10",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094308",
"telephone_number": "863-284-6800"
}
],
"practiceLocations": [
{
"address_1": "13670 Walsingham Rd",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337743532",
"country_code": "US",
"telephone_number": "727-593-9848",
"fax_number": "727-596-4532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONNELLA",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9114776",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112389500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "David.GonnellaPA-C@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew Street",
"address_2": "East Bldg 2nd Floor",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "33759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.