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GREGORY F MACISAAC MD
NPI 1104895473
Family Medicine in Palm Coast, FL

Active since March 17, 2006
120 CYPRESS EDGE DR, SUITE 210, PALM COAST, FL 32164(386) 445-4750(386) 445-4751 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory F Macisaac Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY F MACISAAC MD (NPI 1104895473) is an individual family medicine provider in Palm Coast, Florida, licensed in Virginia (0101057756) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1104895473
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY F MACISAACCredential: MD
Location Address120 CYPRESS EDGE DR, SUITE 210Palm Coast, FL 32164-8453
Mailing Address120 Cypress Edge Dr, Suite 210Palm Coast, FL 32164-8453 · (386) 445-4750 · Fax (386) 445-4751
Phone(386) 445-4750
Fax(386) 445-4751
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateFebruary 12, 2015
✔ NPI 1104895473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101057756
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
120 CYPRESS EDGE DR, Palm Coast, FL 32164
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Other Identifiers 4

Medicaid005620589VA
Medicare PINVV6468AVA
Other218728VA · Anthem
OtherME119474FL · Fl Medical License

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANAM AHMED MD
Family Medicine
120 CYPRESS EDGE DR, SUITE 207
PALM COAST, FL 32164
Flagler County (386) 586-4390
MRS. CHIAMAKA IHEME M.D.
Family Medicine
120 CYPRESS EDGE DR, SUITE 202
PALM COAST, FL 32164
Flagler County (386) 586-4462
MRS. EVONNE HELEN EIGHMEY OTR/L
Occupational Therapist
120 CYPRESS EDGE DR
PALM COAST, FL 32164
Flagler County (386) 586-2000
FLORIDA HEART & VASCULAR CARE, PLLC
Internal Medicine (Cardiovascular Disease)
120 CYPRESS EDGE DR, SUITE 203
PALM COAST, FL 32164
Flagler County (386) 586-4410
DR. ANTHONY TODD TUCKER MD
Otolaryngology
120 CYPRESS EDGE DR, SUITE 202
PALM COAST, FL 32164
Flagler County (386) 586-4462
KAREN CHRISTIANE THEILADE MD
Internal Medicine (Cardiovascular Disease)
120 CYPRESS EDGE DR, SUITE 203
PALM COAST, FL 32164
Flagler County (386) 586-4410
MARY KATHRYN WHITWORTH
Physical Therapist (Pediatrics)
120 CYPRESS EDGE DR
PALM COAST, FL 32164
Flagler County (386) 586-1670
LAUREN MARIE ROSENCRANS PA-C
Family Medicine
120 CYPRESS EDGE DR
PALM COAST, FL 32164
Flagler County (386) 586-4280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Macisaac's NPI number?

The NPI number for Gregory Macisaac is 1104895473. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Gregory Macisaac located?

Gregory Macisaac practices at 120 Cypress Edge Dr Suite 210, Palm Coast, FL 32164. The listed phone number is (386) 445-4750.

What is Gregory Macisaac's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gregory Macisaac was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.