NPIMap

Organization Active NPI

John Assi, MD, PA

Doing business as Children's Health Associates

  • Pediatrics Physician
  • Macclenny, FL
National Provider Identifier
1013180561
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MH45615 Issued in FL
Legal business name
JOHN ASSI, MD, PA
Doing business as
Children's Health Associates
Practice address
28 W Macclenny Ave
Macclenny, FL 32063-2094
Phone
(904) 259-5766
Fax
(904) 259-8416
NPI assigned
Apr 4, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN ASSI, MD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. John Assi, MDNPI 1255436200
Title
Owner
Phone
(904) 398-1471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MH45615 FL Primary

Addresses

Primary practice location

28 W Macclenny Ave
Macclenny, FL 32063-2094

Mailing address

3710 Grandy Ave
Jacksonville, FL 32207-6112
Phone (904) 398-1471

Other identifiers 1

IdentifierTypeStateIssuer
263972604MedicaidFL

Other names 1

  • Children's Health Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John Assi MD PA9 organizations share this tax ID, including this one
Part of
John Assi MD PA

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

28 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-5766

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1013180561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 GRANDY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076112",
            "telephone_number": "904-398-1471",
            "fax_number": "904-398-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632094",
            "telephone_number": "904-259-5766",
            "fax_number": "904-259-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ASSI, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN ASSI, MD, PA",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "ASSI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-398-1471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "MH45615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263972604",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macclenny, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.