Organization Active NPI

Reginald L. Sykes, Sr, M.D., P.a.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1013356641
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME58350 Issued in FL
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

Updated by the provider on Jun 17, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
064400500MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in Jacksonville, FL

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.

Verify at the official NPI Registry.