Individual provider Active NPI

James T. Drew, MD

  • Family Medicine Physician
  • Palatka, FL
National Provider Identifier
1104803774
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME66155 Issued in FL
Practice address
1302 River St
Palatka, FL 32177-5042
Phone
(386) 328-8371
Fax
(386) 325-1086
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME66155 FL Primary

Addresses

Primary practice location

1302 River St
Palatka, FL 32177-5042

Mailing address

11914 Tierra Verde CT
Jacksonville, FL 32258-2279
Phone (904) 254-2824

Other identifiers 1

IdentifierTypeStateIssuer
016464800MedicaidFL

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
I20040207000197 FL Practitioner - Family Practice 7719870138 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME66155FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care Incorporated CurrentSince Feb 28, 2016 Accepting new patients
Rural Health Care, Inc. CurrentSince Feb 28, 2016 Accepting new patients
Afc Florida, LLC Family Medicine CurrentSince Jul 19, 2021 Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Baptist Occupational Health Inc Past Accepting new patients
Baptist Primary Care Inc Family Medicine Past Accepting new patients
Heywood Medical Group Inc. Family Medicine Past Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

4850 Mobile Hwy
Ste 100
Pensacola, FL 32506
Phone (850) 542-7771

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1104803774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 TIERRA VERDE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582279",
            "telephone_number": "904-254-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-328-8371",
            "fax_number": "386-325-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "JAMES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME66155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016464800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.