Individual provider Active NPI

David Gonnella

  • Physician Assistant
  • Lakeland, FL
National Provider Identifier
1760834386
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114776 Issued in FL
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

Updated by the provider on Aug 28, 2026

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 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

IdentifierTypeStateIssuer
112389500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160929000043 ME Practitioner - Physician Assistant 5799072195 Reassigns benefits to 1 organization
I20211027003159 FL Practitioner - Physician Assistant 5799072195 Reassigns benefits to 3 organizations

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
Baycare Urgent Care, LLC.Group PAC ID 6103841051, 91 clinicians
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

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

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Physician Assistant CurrentSince Oct 25, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 11, 2016 Accepting new patients
Baycare Urgent Care, LLC Current Accepting new patients
Mainegeneral Medical Center CurrentSince Jul 11, 2016 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Oct 25, 2021 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

  • Direct secure messaging: david.gonnellapa-c@direct.mybaycare.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.