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DEARDOURFF TIMMONS & ASSOCIATES PA
NPI 1295768398
Urology in Gainesville, FL

Active since July 09, 2006CLIA 10D0865531 · Waiver
6420 NW 9TH BLVD, GAINESVILLE, FL 32605(352) 331-2332(352) 331-6515 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Deardourff Timmons & Associates Pa NPPES

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

DEARDOURFF TIMMONS & ASSOCIATES PA (NPI 1295768398) is a healthcare organization registered as an urology in Gainesville, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Christopher M Cassisi, Secretary, as its authorized official.

NPPES Registry Identity

NPI1295768398
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameDEARDOURFF TIMMONS & ASSOCIATES PA
Location Address6420 NW 9TH BLVDGainesville, FL 32605-4203
Mailing Address6420 Nw 9th BlvdGainesville, FL 32605-4203 · (352) 331-2332 · Fax (352) 331-6515
Phone(352) 331-2332
Fax(352) 331-6515
Organization SubpartNo
Authorized OfficialChristopher M CassisiSecretary · (352) 331-2332
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1295768398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME79809
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6420 NW 9TH BLVD, Gainesville, FL 32605
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Other Identifiers 5

Other71048FL · Bcbs Provider Number
Medicaid260934700FL
Other53219FL · Bcbs Provider Number
Other51898FL · Bcbs Provider Number
Other01228FL · Bcbs Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0865531

Deardourff, Timmons & Associates, PA · Gainesville, FL
Active · expires Jan 17, 2027
CLIA Number10D0865531
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorDaryll Bullen
Laboratory Phone(352) 331-2332
Laboratory LocationDeardourff, Timmons & Associates, PA6420 NW 9th Blvd, Gainesville, FL 32605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MISS ANGELA K SANTIAGO ARNP
Nurse Practitioner (Adult Health)
6420 NW 9TH BLVD
GAINESVILLE, FL 32605
Alachua County (352) 331-2332
DARYLL BURTON BULLEN MD
Urology
6420 NW 9TH BLVD
GAINESVILLE, FL 32605
Alachua County (352) 331-2332
MRS. ELIZABETH ANN SMOCK ARNP-C
Nurse Practitioner (Acute Care)
6420 NW 9TH BLVD
GAINESVILLE, FL 32605
Alachua County (352) 331-2332

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 Deardourff Timmons & Associates PA's NPI number?

The NPI number for Deardourff Timmons & Associates PA is 1295768398. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Deardourff Timmons & Associates PA located?

Deardourff Timmons & Associates PA is located at 6420 NW 9th Blvd, Gainesville, FL 32605. The listed phone number is (352) 331-2332.

What is Deardourff Timmons & Associates PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Deardourff Timmons & Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0865531) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deardourff Timmons & Associates PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Deardourff Timmons & Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deardourff Timmons & Associates PA was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.