NPIMap

Organization Active NPI

Shands Teaching Hospital and Clinics Inc

  • Clinic/Center
  • Gainesville, FL
National Provider Identifier
1821184649
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4286 Issued in FL
Legal business name
SHANDS TEACHING HOSPITAL AND CLINICS INC
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 594-0827
Fax
(352) 265-1097
NPI assigned
Oct 5, 2006
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SHANDS TEACHING HOSPITAL AND CLINICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Mr. Michael D. Holmes
Title
Ceo
Phone
(352) 733-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4286 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

PO Box 100303
Gainesville, FL 32610-0303
Phone (352) 627-9045

Other identifiers 3

IdentifierTypeStateIssuer
062700305MedicaidFL
278881100MedicaidFL
062700300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000726 FL Part B Supplier - Clinic/Group Practice 2163336504 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gainesville, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Agh Surgical Associates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1600 SW Archer Rd
#1003
Gainesville, FL 32610

1600 SW Archer Rd
#100326
Gainesville, FL 32610

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1821184649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100303",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100303",
            "telephone_number": "352-627-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-594-0827",
            "fax_number": "352-265-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDS TEACHING HOSPITAL AND CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANDS TEACHING HOSPITAL AND CLINICS INC",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-733-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "4286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062700305",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278881100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062700300",
            "state": "FL"
        }
    ],
    "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 Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.