Active NPI
Shirley N Codada, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- ME73373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49995 | Other | FL | BCBS |
| 106635800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME73373 | FL | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Internal Medicine | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Internal Medicine | Current | Accepting new patients |
| Nchmd Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Haven Medical Group, LLC | Hospice and Palliative Medicine | Current | 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
- scodada86758@nchhealthcaresystem.direct-ci.com
- 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.
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Internal Medicine
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Gainesville, FL
- NPI 1407143316
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.