Organization Active NPI

My Side Medicine LLC

  • Family Medicine Physician
  • Fleming Island, FL
National Provider Identifier
1013853357
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MY SIDE MEDICINE LLC
Practice address
1679 Eagle Harbor Pkwy
Fleming Island, FL 32003-4815
Phone
(904) 289-1850
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Sean Sidey
Title
Managing Member
Phone
(904) 289-1850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1679 Eagle Harbor Pkwy
Fleming Island, FL 32003-4815

Mailing address

797 Peppervine Ave
St Johns, FL 32259-5276
Phone (904) 289-1850

National Provider Directory

National Provider Directory

Locations

1679 Eagle Harbor Pkwy
Fleming Island, FL 32003
Phone (904) 289-1850

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1013853357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 PEPPERVINE AVE",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322595276",
            "telephone_number": "904-289-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 EAGLE HARBOR PKWY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034815",
            "telephone_number": "904-289-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SIDE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "SIDEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-289-1850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.