Dr Jared Gaines MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DR JARED GAINES MD PA

Doing business as

North Florida Family Psychiatry

Practice address

1555 Kingsley Ave BLDG 300
Suite 305
Orange Park, FL 32073-4560

Phone

(352) 284-4216

Fax

(866) 681-5094

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Jared B Gaines, MD

Title

Owner

Phone

(352) 284-4216

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Florida Family Psychiatry Doing business as

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1942444757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE BLDG 300",
            "address_2": "SUITE 305",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734560",
            "telephone_number": "352-284-4216",
            "fax_number": "866-681-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 KINGSLEY AVE BLDG 300",
            "address_2": "SUITE 305",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734560",
            "telephone_number": "352-284-4216",
            "fax_number": "866-681-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JARED GAINES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-284-4216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00760459",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Family Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shari Beth Dowd, L.M.H.C.
• Donald M Downer, M.D.
• Callie Downing, QASP
• Dr Blake Bazel PHD PA
• Dr Hite and Associates , P.a.
• Dr Kyle D Abshire & Dr James R Hoffman PA (Orange Park Eye Center)
• Dr Pam Russell Services
• Dr Ted Brink & Associates
• Dr. George S Tellam (Ankle & Foot Associates)
• Denise Draper

• Neurology Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.