GARY R. BURGESS PA-C
NPI 1194942748
Physician Assistant - Medical in Jacksonville, FL

Active since April 18, 2007
4621 EMERSON ST, JACKSONVILLE, FL 32207(904) 399-8884 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary R. Burgess Pa-c NPPES

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

GARY R. BURGESS PA-C (NPI 1194942748) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9103396) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1194942748
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGARY R. BURGESSCredential: PA-C
Location Address4621 EMERSON STJacksonville, FL 32207-4920
Mailing Address1895 Sentry Oak CtGreen Cove Springs, FL 32043-3775 · (904) 284-4190
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194942748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9103396
4621 EMERSON ST, Jacksonville, FL 32207

Other Providers at the Same Location NPPES 2

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

Podiatrist (Foot & Ankle Surgery)
4621 EMERSON ST
JACKSONVILLE, FL 32207
Chiropractor
4621 EMERSON ST
JACKSONVILLE, FL 32207

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 Gary Burgess's NPI number?

The NPI number for Gary Burgess is 1194942748. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Gary Burgess located?

Gary Burgess practices at 4621 Emerson St, Jacksonville, FL 32207. The listed phone number is (904) 399-8884.

What is Gary Burgess's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gary Burgess was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.