Individual provider Active NPI

Shirley N Codada, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gainesville, FL
National Provider Identifier
1962466870
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME73373 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-4595
Phone
(352) 265-0655
Fax
(352) 265-1107
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME73373 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME73373 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-4595

Mailing address

PO Box 100277
Gainesville, FL 32610-0277
Phone (352) 265-0655

Other practice location 1

9092 SW 70th Ln
Gainesville, FL 32608
Phone (352) 265-0335

Other practice location 2

1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0140

Other practice location 3

4197 NW 86th Ter
Gainesville, FL 32606
Phone (352) 265-0007

Other practice location 4

2450 Goodlette Rd N Ste 101
Naples, FL 34103-4595
Phone (239) 624-0340

Other identifiers 2

IdentifierTypeStateIssuer
49995OtherFLBCBS
106635800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090501000303 FL Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Other (Physician) 0446308480 Reassigns benefits to 3 organizations
I20141106001721 GA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 0446308480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
University of Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

311 9TH St N
Naples, FL 34102-5885
Phone (239) 649-0440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73373FLMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Internal Medicine CurrentSince May 11, 2015 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Nchmd Inc CurrentSince Sep 27, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2023 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince May 11, 2015 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Haven Medical Group, LLC Hospice and Palliative Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

9092 SW 70th Ln
Gainesville, FL 32608
Phone (352) 265-0335

4197 NW 86th Ter
Fl 1
Gainesville, FL 32606
Phone (352) 265-0007

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

4197 NW 86th Ter
Gainesville, FL 32606
Phone (352) 265-5404

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0496

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

311 Tamiami Trl N
Ste 110
Naples, FL 34102
Phone (239) 624-4286

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

311 Tamiami Trl N
Naples, FL 34102
Phone (239) 659-3937

1500 SE 17th St
Ste 600
Ocala, FL 34471
Phone (352) 273-7770

13000 US Highway 1
Sebastian, FL 32958
Phone (772) 388-5251

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: scodada86758@nchhealthcaresystem.direct-ci.com
  • Direct secure messaging: shirley.codada@direct.moffitt.org

Organizations & group practices 7

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 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1962466870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100277",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100277",
            "telephone_number": "352-265-0655",
            "fax_number": "352-265-1107"
        },
        {
            "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": "326104595",
            "telephone_number": "352-265-0655",
            "fax_number": "352-265-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9092 SW 70th Ln",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32608",
            "country_code": "US",
            "telephone_number": "352-265-0335",
            "fax_number": "352-265-0336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Gale Lemerand Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32610",
            "country_code": "US",
            "telephone_number": "352-265-0140",
            "fax_number": "352-265-7092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4197 NW 86th Ter",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32606",
            "country_code": "US",
            "telephone_number": "352-265-0007",
            "fax_number": "352-627-4771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Goodlette Rd N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341034595",
            "country_code": "US",
            "telephone_number": "239-624-0340",
            "fax_number": "239-624-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODADA",
        "first_name": "SHIRLEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73373",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME73373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49995",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106635800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.