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JAICY POTTOKARAN M.D.
NPI 1679713499
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 06, 2009PECOS Enrolled
2000 SW ARCHER RD, GAINESVILLE, FL 32608(352) 273-9180 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaicy Pottokaran M.d. NPPES

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

JAICY POTTOKARAN M.D. (NPI 1679713499) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1679713499
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJAICY POTTOKARANCredential: M.D.
Location Address2000 SW ARCHER RDGainesville, FL 32608-1136
Mailing Address2000 Sw Archer RdGainesville, FL 32608-1136 · (352) 273-9180
Phone(352) 273-9180
Sole ProprietorNo
Enumeration DateMarch 6, 2009
Last NPPES UpdateApril 13, 2021
NPPES CertifiedApril 10, 2021
✔ NPI 1679713499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2000 SW ARCHER RD, Gainesville, FL 32608
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Other Names 1

Former Name (1)Dr. Jaicy Charles Md

Secondary Practice Location 1

Location 1263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaicy Pottokaran M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MISS KATHRYN JEAN WARREN PA-C
Physician Assistant
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0725
SEYDEL YANITZA DUBON PA-C
Physician Assistant
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0129
ANNE MARIE SCHRAMM PA-C
Physician Assistant
2000 SW ARCHER RD, UF HEALTH NEUROLOGY - MEDICAL PLAZA
GAINESVILLE, FL 32608
Alachua County (352) 265-8408
OSAMA DASA M.D.
Internal Medicine
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (419) 322-6509
DANIEL VILARIM ARAUJO
Internal Medicine (Medical Oncology)
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0725
MICHELLE CARDEL PH.D., R.D.
Dietitian, Registered
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 273-9703
MRS. SHANA JACOBY AMAR RD
Dietitian, Registered
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0111
MRS. PATRICIA JEAN FUNK M.S., R.D., L.D.N.,
Dietitian, Registered
2000 SW ARCHER RD
GAINESVILLE, FL 32608
Alachua County (352) 265-0400

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 Jaicy Pottokaran's NPI number?

The NPI number for Jaicy Pottokaran is 1679713499. It was assigned to this individual provider in the NPPES registry on March 6, 2009. The provider is also known as Dr. Jaicy Charles MD.

Where is Jaicy Pottokaran located?

Jaicy Pottokaran practices at 2000 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (352) 273-9180.

What is Jaicy Pottokaran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaicy Pottokaran enrolled in Medicare?

Yes. Jaicy Pottokaran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaicy Pottokaran was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.