NPIMap

Individual provider Active NPI

Paige L Bates, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1861681025
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME103358 Issued in FL
Practice address
915 W Monroe St
#301
Jacksonville, FL 32204-1177
Phone
(904) 353-8562
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME103358 FL Primary

Addresses

Primary practice location

915 W Monroe St
#301
Jacksonville, FL 32204-1177

Mailing address

3920 Charter House Dr
Jacksonville, FL 32224-7797
Phone (904) 329-2678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090427000130 FL Practitioner - Internal Medicine 9739237082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anil George MD PAGroup PAC ID 8628096195, 5 clinicians

Practice addresses (Care Compare)

915 W Monroe St
Suite 301
Jacksonville, FL 32204-1177
Phone (904) 353-8562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103358FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anil George MD PA Internal Medicine CurrentSince Apr 1, 2009 Accepting new patients

Locations

915 W Monroe St
Ste 301
Jacksonville, FL 32204
Phone (904) 353-8562

580 W 8th St
Ste 6009
Jacksonville, FL 32209
Phone (904) 244-9470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBAAA

Organizations & group practices 1

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 7

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1861681025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 CHARTER HOUSE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247797",
            "telephone_number": "904-329-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MONROE ST",
            "address_2": "#301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041177",
            "telephone_number": "904-353-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "PAIGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.