NPIMap

Organization Active NPI

Pediatric Gastroenterology Associates PLLC

  • Non-Pharmacy Dispensing Site
  • Pinecrest, FL
National Provider Identifier
1861361115
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC
Practice address
10045 S Dixie Hwy
Pinecrest, FL 33156-3145
Phone
(786) 888-2480
NPI assigned
Nov 4, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Jesse Reeves Garcia, MDNPI 1134150477
Title
MD/Owner
Phone
(786) 888-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

10045 S Dixie Hwy
Pinecrest, FL 33156-3145

Mailing address

10045 S Dixie Hwy
Pinecrest, FL 33156-3145
Phone (786) 888-2480

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Gastroenterology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10045 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 888-2480

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1861361115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563145",
            "telephone_number": "786-888-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563145",
            "telephone_number": "786-888-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "REEVES GARCIA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "786-888-2480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.