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Active NPI 1154512358 Individual Practitioner Male Practitioner

Gary Charles Perez , PHYSICIAN ASSISTANT

Physician Assistant • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Gary Perez, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Crestview, FL. Practice services are available at 550 REDSTONE AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

550 Redstone Ave W
Suite 370

Crestview, FL 325366428

Telephone 8506822209
Fax 8508506822
Associated Practice Facility / Clinic
🏢 North Okaloosa Clinic Corp Facility NPI 1659329852

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Crestview, FL (10376 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA 9103949

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002879600 (FL)
Medicaid State Provider ID
1467589010 (FL)
Commercial Insurance / Payer ID Pa License
PA9103949
Commercial Insurance / Payer ID Tax Id Medicare Group
592921954
Commercial Insurance / Payer ID Medicare Npi Group
1467589010 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Anne Denys , MD

Orthopaedic Surgery - Sports Medicine

NPI 1730161126

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2012

Registered at 550 REDSTONE AVE W, SUITE 370, CRESTVIEW, FL 325366428 (Tel: 8506822209)

📍
Updated Business Mailing Address February 09, 2012

Registered at 550 REDSTONE AVE W, SUITE 370, CRESTVIEW, FL 325366428 (Tel: 8506822209)

👤
Provider Name / Credentials Updated February 09, 2012

Recorded as GARY PEREZ, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Physician Assistant (License #PA 9103949 in FL)

🟢
Initial NPI Registration & Enumeration August 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154512358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2007
Last Update: February 09, 2012
Sole Proprietor: No

Mailing Address

550 Redstone Ave W, Suite 370

Crestview, FL 325366428

Phone: 8506822209

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.