FIRST COAST FAMILY MEDICINE PA – NPI #1558457341
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.

FIRST COAST FAMILY MEDICINE PA is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1558457341 to FIRST COAST FAMILY MEDICINE PA on October 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 3 years ago on Sep 28, 2023. 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 FIRST COAST FAMILY MEDICINE PA below.

NPI Profile for
FIRST COAST FAMILY MEDICINE PA

NPI Number
1558457341
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FIRST COAST FAMILY MEDICINE PA
Primary location
9130 RG SKINNER PARKWAY
JACKSONVILLE, FL 32256
Phone: (904) 538-0950 Fax: (904) 538-0952
Mailing address
9130 RG SKINNER PKWY
JACKSONVILLE, FL 32256
Phone: (904) 538-0950 Fax: (904) 538-0952
Organization Subpart
No
Authorized Official
TERRY HASHEY
OWNER
Phone: (904) 538-0950
Updated
Certification Date
Sep 27, 2023

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.

Identifiers

Identifiers for FIRST COAST FAMILY MEDICINE PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PTANAC476
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)
FL OS 9368

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Server
Endpoint type
CONNECT URL
Endpoint Description
OFFICE
Content Type
CSV
Affiliation
N
Endpoint Location
9191 RG SKINNER PARKWAY STE 603,
JACKSONVILLE, FL 77025-1669