Individual provider Active NPI

Erin Gautier Doty, MD

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1790866747
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME90477 Issued in FL
Practice address
7807 Baymeadows Rd E Ste 401
Jacksonville, FL 32256-9668
Phone
(904) 730-3689
Fax
(904) 730-3688
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME90477 FL Primary

Addresses

Primary practice location

7807 Baymeadows Rd E Ste 401
Jacksonville, FL 32256-9668

Mailing address

7807 Baymeadows Rd E
Ste 401
Jacksonville, FL 32256
Phone (904) 730-3689

Other identifiers 1

IdentifierTypeStateIssuer
46878OtherFLBCBS

Other names 1

  • Dr. Erin Gautier Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201000203 FL Practitioner - Neurology 2264497270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of North Florida , Inc Neurology CurrentSince May 12, 2008 Accepting new patients
Neurology Services of Florida LLC Past Accepting new patients

Locations

1361 13th Ave S
Ste 170A
Jax Bch, FL 32250
Phone (904) 249-4456

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1790866747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 BAYMEADOWS RD E",
            "address_2": "STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-730-3689",
            "fax_number": "904-730-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 BAYMEADOWS RD E STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569668",
            "telephone_number": "904-730-3689",
            "fax_number": "904-730-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "ERIN",
        "middle_name": "GAUTIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME90477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46878",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "GAUTIER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.