Individual provider Active NPI

Nathan Perry Jr., M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1073613295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME61123 Issued in FL
Practice address
1301 Monument Rd
Suite 21
Jacksonville, FL 32225-7407
Phone
(904) 724-9334
Fax
(904) 725-3120
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME61123 FL Primary

Addresses

Primary practice location

1301 Monument Rd
Suite 21
Jacksonville, FL 32225-7407

Mailing address

1301 Monument Rd
Suite 21
Jacksonville, FL 32225-7407
Phone (904) 724-9334

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
I20100901000556 FL Practitioner - Internal MedicinePractitioner - Family Practice 0446276240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of South Carolina School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Monument Rd
Suite 19
Jacksonville, FL 32225-6462
Phone (904) 724-9334

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME61123FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Aligned Current Accepting new patients
Perry General & Internal Medicine of Northeast Florida Inc Internal Medicine CurrentSince May 15, 2003 Accepting new patients
McGowan Spinal Rehabilitation Center PA CurrentSince Sep 15, 2017 Accepting new patients
McGowan Medical Centers, PA PastSince Apr 1, 2021 Accepting new patients
Global Diagnostic Imaging Centers, Inc PastSince Aug 2, 2017 Accepting new patients

Locations

1301 Monument Rd
Ste 19
Jacksonville, FL 32225
Phone (904) 724-9334

1301 Monument Rd
Ste 21
Jacksonville, FL 32225
Phone (904) 724-9334

3021 N Main St
Jacksonville, FL 32206
Phone (904) 350-5544

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073613295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MONUMENT RD",
            "address_2": "SUITE 21",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257407",
            "telephone_number": "904-724-9334",
            "fax_number": "904-725-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MONUMENT RD",
            "address_2": "SUITE 21",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257407",
            "telephone_number": "904-724-9334",
            "fax_number": "904-725-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME61123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.