NPIMap

Organization Active NPI

North Florida/ South Georgia Veterans Health System

  • General Acute Care Hospital
  • Gainesville, FL
National Provider Identifier
1801972138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
ARNP2512952 Issued in FL
Legal business name
NORTH FLORIDA/ SOUTH GEORGIA VETERANS HEALTH SYSTEM
Practice address
1601 SW Archer Rd
Gu 112C
Gainesville, FL 32608-1135
Phone
(352) 316-1611
Fax
(352) 374-6157
NPI assigned
Oct 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Fadra S McIntosh, ARNP,MSN.GNP-BC
Title
Arnp
Phone
(352) 376-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ARNP2512952 FL Primary

Addresses

Primary practice location

1601 SW Archer Rd
Gu 112C
Gainesville, FL 32608-1135

Mailing address

1601 SW Archer Rd
Gu 112C
Gainesville, FL 32608-1135
Phone (352) 316-1611

National Provider Directory

National Provider Directory
Tax ID family
Gainesville Vamc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

1601 SW Archer Rd
#112C
Gainesville, FL 32608
Phone (352) 316-1611

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801972138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "address_2": "GU 112C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-316-1611",
            "fax_number": "352-374-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "address_2": "GU 112C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-316-1611",
            "fax_number": "352-374-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA/ SOUTH GEORGIA VETERANS HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "FADRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "352-376-1611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP,MSN.GNP-BC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ARNP2512952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.