DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1407816234

NPI Code Detail

MEDICARE: MRS. AMY JOY LOCKETT PA-C

MEDICARE: MRS. AMY JOY LOCKETT PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	APRN9112255	FL
2	208VP0014X	Interventional Pain Medicine Physician	APRN9112255	FL
3	363AM0700X	Medical Physician Assistant	103487	NC
4	363AM0700X	Medical Physician Assistant	9112255	FL
5	363AS0400X	Surgical Physician Assistant	103487	NC
6	363A00000X	Physician Assistant	PA9112255	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407816234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY JOY LOCKETT PA-C

Provider Business Mailing Address
First Line	:	1601 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1197
Country	:	US
Telephone Number	:	352-338-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1197
Country	:	US
Telephone Number	:	352-233-4900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	02/11/2025

Similar Medicare Providers

1427059674 — DR. KHON HAN LIEN
Practice Location Address:

1601 SW ARCHER RD
GAINESVILLE, FL
32608-1197

Practice Phone: 904-475-5800
Practice Fax:

1881942233 — TABITHA JANE RUTTER ARNP
Practice Location Address:

1601 SW ARCHER RD
GAINESVILLE, FL
32608-1197

Practice Phone: 352-548-6000
Practice Fax:

1225021744 — DOROTHY BENSON MCGOWN LCSW
Practice Location Address:

1601 S.W. ARCHER ROAD , MALCOM RANDALL VA MEDICAL CENTER
GAINESVILLE, FL
32608-1197

Practice Phone: 352-376-1611
Practice Fax:

1992784789 — DONITA L SMITH MSW; LCSW
Practice Location Address:

1601 SW ARCHER RD
GAINESVILLE, FL
32608-1197

Practice Phone: 904-396-8750
Practice Fax: 904-396-8759

1194764613 — M. LOUIS MOY MD
Practice Location Address:

1601 SW ARCHER RD
GAINESVILLE, FL
32608-1197

Practice Phone: 352-548-6000
Practice Fax:

1497798433 — DR. CARLOS M ALVAREZ DMD
Practice Location Address:

1601 SW ARCHER RD
GAINESVILLE, FL
32608-1197

Practice Phone: 614-390-3017
Practice Fax:

Directions to “ MRS. AMY JOY LOCKETT PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.