Active NPI
Reginald L. Sykes, Sr, M.D., P.a.
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1013356641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME58350
- Legal business name
- REGINALD L. SYKES, SR, M.D., P.A.
- Practice address
- 3160 Edgewood Ave W
Jacksonville, FL 32209-2245 - Phone
- (904) 768-8222
- Fax
- (904) 482-0373
- NPI assigned
- Jun 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reginald L Sykes Sr., M.D.
- Title
- President/Physician
- Phone
- (904) 768-8222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME58350 | FL | Primary |
Addresses
Primary practice location
3160 Edgewood Ave W
Jacksonville, FL 32209-2245
Mailing address
3160 Edgewood Ave W
Jacksonville, FL 32209-2245
Phone (904) 768-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064400500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3160 Edgewood Ave W
Jacksonville, FL 32209
Phone (904) 308-2269
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1053366906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1013356641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 EDGEWOOD AVE W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322092245",
"telephone_number": "904-768-8222",
"fax_number": "904-482-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 EDGEWOOD AVE W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322092245",
"telephone_number": "904-768-8222",
"fax_number": "904-482-0373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINALD L. SYKES, SR, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-17",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "SYKES",
"authorized_official_first_name": "REGINALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "904-768-8222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME58350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064400500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.