Individual provider Active NPI

Terry Dale Hashey, D.O.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1003899303
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9368 Issued in FL
Practice address
9130 RG Skinner Parkway
Jacksonville, FL 32256
Phone
(904) 538-0950
Fax
(904) 538-0952
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9368 FL Primary

Addresses

Primary practice location

9130 RG Skinner Parkway
Jacksonville, FL 32256

Mailing address

9130 RG Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 538-0950

Other identifiers 1

IdentifierTypeStateIssuer
AC477ZOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000186 FL Practitioner - Family Practice 8426155912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Coast Family Medicine PAGroup PAC ID 4880791375, 5 clinicians

Practice addresses (Care Compare)

9130 RG Skinner Pkwy
Jacksonville, FL 32256-9661
Phone (904) 538-0950

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Family Medicine PA Family Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

10920 Baymeadows Rd
Ste 27
Jacksonville, FL 32256
Phone (904) 683-6880

9130 R G Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 538-0950

Networks

  • FL HMO C-SNP
  • FL PPO
  • FL HMO
  • FL HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: terry.hashey.1@16062.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1003899303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 RG SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-538-0950",
            "fax_number": "904-538-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 RG SKINNER PARKWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-538-0950",
            "fax_number": "904-538-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEY",
        "first_name": "TERRY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AC477Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.