Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J David Barr, PAC

Individual provider Physician Assistant · NPI 1679511802

J David Barr, PAC is a Physician Assistant in Odessa, Florida. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in ZZ.

Years since qualifying
21
Licensed in
ZZ
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

16734 Ivy Lake Dr
Odessa, FL 33556-6020
Phone: (813) 459-7711
Fax: (813) 235-4175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108698 (ZZ)

Record details

NPI number1679511802
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESSeptember 4, 2018
Mailing address18865 State Road 54 # 301, Lutz, FL 33558-8201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Odessa