Individual provider Active NPI

Bailey Gogia, PA-C

  • Medical Physician Assistant
  • Lake Mary, FL
National Provider Identifier
1942004726
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9119956 Issued in FL
Practice address
795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Phone
(386) 561-9967
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9119956 FL Primary

Addresses

Primary practice location

795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191

Mailing address

725 Primera Blvd Ste 220
Lake Mary, FL 32746-2127
Phone (386) 561-9967

Other practice location 1

915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 561-9967

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912002711 FL Practitioner - Physician Assistant 9830692045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Central Florida Rheumatology Consultants LLCGroup PAC ID 7214276922, 9 clinicians

Practice addresses (Care Compare)

759 Harley Strickland Blvd
Orange City, FL 32763-7954

915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 561-9967

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9119956FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Rheumatology Consultants LLC Current Accepting new patients

Locations

795 Primera Blvd
Ste 1001
Lake Mary, FL 32746
Phone (386) 561-9967

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 6

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1942004726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD STE 220",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462127",
            "telephone_number": "386-561-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "386-561-9967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Harley Strickland Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637967",
            "country_code": "US",
            "telephone_number": "386-561-9967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGIA",
        "first_name": "BAILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9119956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.