Individual provider Active NPI

Gary William Frick, MD

  • Psychiatry Physician
  • Port Orange, FL
National Provider Identifier
1962548552
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME73316 Issued in FL
Practice address
804 Dunlawton Ave Ste 1
Port Orange, FL 32127-4931
Phone
(386) 767-8584
Fax
(386) 767-8536
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME73316 FL Primary

Addresses

Primary practice location

804 Dunlawton Ave Ste 1
Port Orange, FL 32127-4931

Mailing address

804 Dunlawton Ave Ste 1
Port Orange, FL 32127-4931
Phone (386) 767-8584

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040212000092 FL Practitioner - Psychiatry 7618861337 Reassigns benefits to 2 organizations
Practice locations: Port Orange, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services of Daytona PLCCGroup PAC ID 7012310485, 2 clinicians
Northeast Florida Psychiatric Association, Inc.Group PAC ID 2860626876, 2 clinicians

Practice addresses (Care Compare)

600 N Clyde Morris Blvd
Daytona Beach, FL 32114-2322
Phone (386) 265-5512

804 Dunlawton Ave
Suite 1
Port Orange, FL 32127-4931
Phone (386) 767-8584

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73316FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Psychiatric Association, Inc Psychiatry CurrentSince Oct 4, 2013 Accepting new patients
Psychiatric Services of Daytona, PLCC Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients

Locations

1651 N Clyde Morris Blvd
#1
Daytona Beach, FL 32117
Phone (386) 265-5512

600 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 265-5512

804 Dunlawton Ave
Ste 1
Port Orange, FL 32127
Phone (386) 767-8584

804 Dunlawton Ave
#1
Port Orange, FL 32127
Phone (386) 767-8584

804 Dunlawton Ave
Unit 1
Port Orange, FL 32127

790 Dunlawton Ave
Ste J
Port Orange, FL 32127
Phone (386) 767-8584

804 Dunlawton Ave
Bldg 4
Port Orange, FL 32127

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1962548552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 DUNLAWTON AVE STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274931",
            "telephone_number": "386-767-8584",
            "fax_number": "386-767-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 DUNLAWTON AVE STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274931",
            "telephone_number": "386-767-8584",
            "fax_number": "386-767-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME73316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.