COURTNEY B. FAHNHORST VIDRINE M.D. – NPI #1245526466
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

COURTNEY FAHNHORST VIDRINE is a physician located in SAINT JOHNS, FL. NPPES has assigned the NPI number 1245526466 to COURTNEY FAHNHORST VIDRINE on June 27, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Oct 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COURTNEY FAHNHORST VIDRINE below.

NPI Profile for
COURTNEY B. FAHNHORST VIDRINE

NPI Number
1245526466
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
COURTNEY B. FAHNHORST VIDRINE
Credentials
M.D.
Primary location
205 TRINITY WAY
SAINT JOHNS, FL 32259-1155
Phone: (904) 410-6040 Fax:
1 Other location(s):
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 396-5682
Fax: (904) 346-0684
Mailing address
101 MARKETSIDE AVE STE 404
PONTE VEDRA, FL 32081-1542
Phone: (904) 410-6040 Fax: (904) 914-9293
Sole Proprietor
Yes
Updated
Certification Date
Oct 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
GA 85566
208M00000X
- Hospitalist
FL ME118350
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine
FL ME118350
207PE0005X
- Emergency Medicine / Undersea and Hyperbaric Medicine
FL ME118350

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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