Kimberly Michelle Gomez (NPI# 1164936621, PAC ID# 0941558902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1164936621 |
PAC ID by PECOS | 0941558902 |
Professional Enrollment ID | I20180807003658 |
Full Name | Kimberly Michelle Gomez |
Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
Address |
201 B Lakeshore Point St Mary's GA 31558 |
Phone Number | 9127296821 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9133025869 |
Number of Group Practice Members | 575 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
Address | Phone | Organization |
---|---|---|
655 W 8th St, Jacksonville, FL 32209-6511 | 9042443273 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
201 B Lakeshore Point, St Mary's, GA 31558 | 9127296821 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
Physicians | 621 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Joseph Bradburn | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
Roselyn Perez | Clinical Social Worker | University of Florida Jacksonville Physicians, Inc. | 7645 Merrill Rd, Jacksonville, FL 32277-6573 |
Amanda Salzburg | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
Julia Holsomback | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 11481 Old Saint Augustine Rd, Suite 101, Jacksonville, FL 32258-1474 |
Alan M Litwin | Diagnostic Radiology | University of Florida Jacksonville Physicians, Inc. | 4555 Emerson Expressway, Suite 120, Jacksonville, FL 32207-4958 |
Jekeva Moss | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1833 Boulevard Ave, Jacksonville, FL 32206-4394 |
Nicole Marie Alexander | Obstetrics/gynecology | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
Nicole A Kahhan | Clinical Psychologist | University of Florida Jacksonville Physicians, Inc. | 910 N Jefferson St, Jacksonville, FL 32209-6810 |
Cristina Jorgensen | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 5205 Normandy Blvd, Suite 13, Jacksonville, FL 32205-4842 |
Brittany Mazzeo | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 8274 Bayberry Rd, Jacksonville, FL 32256-7470 |
Street Address |
201 B LAKESHORE POINT |
City | ST MARY'S |
State | GA |
Zip | 31558 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela D Johnson | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
Paulette Kropf | Pediatric Medicine | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott Thomas Miles | Addiction Medicine | 5155 Ga Hwy 40 E, St Marys, GA 31558 | |
Angelito B Lacanilao | Family Medicine | 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101 | |
James Shields | Anesthesiology | Physicians Group Services Pa | 309 Arnow Dr, Saint Marys, GA 31558-3176 |
Roberta Lindau | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
Norman A Lemieux | Clinical Social Worker | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
Ellinor Burke | Psychologist, Clinical | Cumberland Health Services, Inc | 10545 Colerain Rd, Saint Marys, GA 31558-3720 |
Joshua B Woodin | Physician Assistant | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
Jennifer Lynn Cox | Physician Assistant | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
Jimmy Arturo Malaver-reyes | General Practice | Urgent Care of Coastal Georgia | 214 Professional Cir, Suite A, Saint Marys, GA 31558-3783 |
Teresa L Nicholson | Certified Nurse Midwife (cnm) | Robert D. Mixson Md Pa A Georgia Corp | 104 Lakeshore Dr, Suite A, St Marys, GA 31558-3809 |
Find all physicians in zip 31558 |
City | ST MARY'S |
Zip Code | 31558 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ST MARY'S + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.