Individual provider Active NPI

Melissa M Gonzalez, PA-C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1982888194
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115402 Issued in FL
Practice address
3949 SW College Rd Ste 100
Ocala, FL 34474-5713
Phone
(352) 401-8800
NPI assigned
Dec 24, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115402 FL Primary
Medical Physician Assistant 363AM0700X 005222 GA
Medical Physician Assistant 363AM0700X PA9115402 FL

Addresses

Primary practice location

3949 SW College Rd Ste 100
Ocala, FL 34474-5713

Mailing address

3949 SW College Rd Ste 100
Ocala, FL 34474-5713
Phone (352) 401-8800

Other practice location 1

2111 SW 20th Pl
Ocala, FL 34471-7734
Phone (352) 622-4251

Other names 1

  • Melissa Gonzalez Former name

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
I20220208000789 FL Practitioner - Physician Assistant 4981780376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

2700 Healing Way
Wesley Chapel, FL 33543-5453

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005222GAMDProfessional Counselor
PA9115402FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Heart Center Current Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Feb 1, 2022 Accepting new patients
Adventhealth Primary Care Network Inc Medical PastSince Jan 19, 2025 Accepting new patients

Locations

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

77 Weaver Rd
#B
Blairsville, GA 30512
Phone (706) 439-6165

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mgonzalez617610@adventhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1982888194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SW COLLEGE RD STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745713",
            "telephone_number": "352-401-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SW COLLEGE RD STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745713",
            "telephone_number": "352-401-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 SW 20th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717734",
            "country_code": "US",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115402",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "005222",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GONZALEZ",
            "credential": "MALTBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.