Active NPI
James T. Drew, MD
- Family Medicine Physician
- Palatka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME66155
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016464800 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME66155 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care Incorporated | Current | Accepting new patients | |
| Rural Health Care, Inc. | Current | Accepting new patients | |
| Afc Florida, LLC | Family Medicine | Current | Accepting new patients |
| Bethesda/Solantic Joint Venture, LLC | Past | Accepting new patients | |
| Tenet-Solantic Joint Venture LLC | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Palatka, FL
- NPI 1871569061
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1891227179
-
- Medical Specialty Clinic/Center
- Jacksonville, FL
- NPI 1710058177
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1730329038
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1104159755
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.