Individual provider Active NPI

Hanie Fawzy Abdel Masih, D.O.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1003202458
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18126 Issued in FL
Practice address
1536 N Jefferson St
Jacksonville, FL 32209-6525
Phone
(904) 475-5800
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent'S Ambulatory Care Inc 303 clinicians

Practice addresses (Care Compare)

1760 Edgewood Ave W
Suite Aandb
Jacksonville, FL 32208-7209
Phone (904) 450-6250

Hospital & facility affiliations

  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20181107002716 NC Practitioner - Family Practice 1153675236 Reassigns benefits to 1 organization
I20220201002076 FL Practitioner - Family Practice 1153675236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Family Medicine Current Accepting new patients
FHPG, LLC Family Medicine CurrentSince Aug 13, 2018 Accepting new patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Oct 30, 2021 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Aug 13, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 30, 2021 Accepting new patients

Locations

1760 Edgewood Ave W
Ste A
Jacksonville, FL 32208

1760 Edgewood Ave W
#B
Jacksonville, FL 32208
Phone (904) 358-8480

1760 Edgewood Ave W
Ste Ab
Jacksonville, FL 32208
Phone (904) 358-8480

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

921 S Long Dr
Ste 101
Rockingham, NC 28379
Phone (910) 417-3850

Interoperability endpoints

  • Direct secure messaging: hanie.abdel.masih.1@8967.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS18126 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1536 N Jefferson St
Jacksonville, FL 32209-6525

Mailing address

1536 N Jefferson St
Jacksonville, FL 32209-6525
Phone (904) 475-5800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2026.

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1003202458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "904-475-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "904-475-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL MASIH",
        "first_name": "HANIE",
        "middle_name": "FAWZY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.