Johnny Gurgen DO PA
NPI 1770856833 · Dermatology Physician · Lady Lake, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnny Gurgen DO PA is a Dermatology Physician organization in Lady Lake, FL (NPI 1770856833).
Provider details
- NPI number
- 1770856833
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnny Gurgen, Owner(352) 435-7695
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1340 Citizens BlvdLeesburg, FL 34748-3924Phone: (352) 435-7695
Registry dates
- Enumerated
- 2012-02-20
- Last updated
- 2019-11-18
Frequently asked questions
- What is Johnny Gurgen DO PA's NPI number?
- Johnny Gurgen DO PA's National Provider Identifier (NPI) is 1770856833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johnny Gurgen DO PA?
- Johnny Gurgen DO PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Johnny Gurgen DO PA located?
- Johnny Gurgen DO PA's practice location on file with NPPES is 920 Rolling Acres Rd Unit 203, Lady Lake, FL 32159-5029.
- What is Johnny Gurgen DO PA's phone number?
- The practice phone number listed in the NPPES registry for Johnny Gurgen DO PA is (352) 435-7695.
- Does Johnny Gurgen DO PA accept Medicare?
- Johnny Gurgen DO PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Johnny Gurgen DO PA?
- The authorized official listed on Johnny Gurgen DO PA's NPPES record is Johnny Gurgen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johnny Gurgen DO PA's NPI active?
- Yes — Johnny Gurgen DO PA's NPI (1770856833) is active in the NPPES registry as of the last update on 2019-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.