BRENDA GIVARGIDZE PA-C
NPI 1114740537
Physician Assistant in Saint Cloud, FL

Q: What is Brenda Givargidze's NPI number?

The NPI number for Brenda Givargidze is 1114740537. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Q: What is Brenda Givargidze's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Givargidze was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since November 04, 2024PECOS EnrolledAccepts Medicare Assignment

2090 OLD HICKORY TREE RD STE 107, SAINT CLOUD, FL 34772(689) 588-5588 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Nov 4, 2024 (2 updates tracked since 2024).

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About Brenda Givargidze Pa-c NPPES

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

BRENDA GIVARGIDZE PA-C (NPI 1114740537) is an individual physician assistant in Saint Cloud, Florida, licensed in Florida (9119295) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2024).

NPPES Registry Identity

NPI1114740537

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBRENDA GIVARGIDZECredential: PA-C

Location Address2090 OLD HICKORY TREE RD STE 107Saint Cloud, FL 34772-8901

Mailing Address2090 Old Hickory Tree Rd Ste 107Saint Cloud, FL 34772-8901

Phone(689) 588-5588

Sole ProprietorYes

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2024

Enumeration DateNovember 4, 2024

Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1114740537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · 9119295

Definition

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.

2090 OLD HICKORY TREE RD STE 107, Saint Cloud, FL 34772

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brenda Givargidze Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587184619

PECOS Enrollment IDI20250219003935

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

ADL CARE CLINIC LLC

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