Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tara Brianne Lawrence

Physician Assistant β€’ Gainesville, FL

Active NPI 1558618389 Individual Practitioner Female Practitioner
Practice location in NPPES

1600 Sw Archer Rd
Gainesville, FL 326103009

Call 3526279350 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 326103009

Telephone 3526279350
Fax 3522739054
Organization at the Same NPPES Address or Phone
Faculty Associates, Inc Facility NPI 1659322014

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Miami, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tara Lawrence has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tara Lawrence as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gainesville and Florida

435 active clinicians are listed under Physician Assistant with a practice address in Gainesville, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

6.2% of these 435 clinicians have the CMS telehealth indicator.

51% of these 435 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9106712

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
013542100 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230901000900

Enrollment State Jurisdiction

FL

PECOS Control ID

6204299696

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3100 Sw 62nd Ave

Miami, FL 331553009

Phone: 3056666511

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Mohammad Al-Mousily , MD

Pediatrics - Pediatric Cardiology

NPI 1083095269

Doctor of Medicine (M.D.)

Dr. Richard D'alli , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1114080983

Doctor of Medicine (M.D.)

Dr. Cheryl Garganta , MD

Medical Genetics - Clinical Biochemical Genetics

NPI 1831205632

Doctor of Medicine (M.D.)

Dr. Klaas Wierenga , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1548363724

Doctor of Medicine (M.D.)

Dr. Laura Wilson , MD

Pediatrics - Pediatric Cardiology

NPI 1366861908

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 08, 2023

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103009 (Tel: 3526279350)

πŸ“
Updated Business Mailing Address September 08, 2023

Registered at PO BOX 100296, GAINESVILLE, FL 326103009 (Tel: 3526279350)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2023

Physician Assistant (license number reported to NPPES: FL PA9106712)

βœ…
NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 10, 2012

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056666511)

πŸ“
Business Mailing Address (Initial Record) August 10, 2012

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056666511)

πŸ‘€
Provider Name / Credentials (Initial Record) August 10, 2012

Recorded as TARA LAWRENCE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2012

Physician Assistant (license number reported to NPPES: FL T9106712)

🟒
Initial NPI Registration & Enumeration August 10, 2012

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1558618389
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2012
Last Update: September 08, 2023
Sole Proprietor: No

Other Physician Assistants in Gainesville

All Physician Assistants in Gainesville

Mailing Address

Po Box 100296

Gainesville, FL 326103009

Phone: 3526279350

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.