Active NPI
Michael C Tracy, MD
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0073346
- Practice address
- 1800 Barrs St
Jacksonville, FL 32204-4704 - Phone
- (904) 308-7300
- Fax
- (904) 346-0113
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0073346 | FL | Primary |
Addresses
Primary practice location
1800 Barrs St
Jacksonville, FL 32204-4704
Mailing address
PO Box 863026
Orlando, FL 32886-3026
Phone (904) 346-5426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41851 | Other | FL | BCBS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
462541 State Rd
Suite 200
Yulee, FL 32097-5421
Phone (904) 391-6300
4655 Salisbury Rd
Suite 220
Jacksonville, FL 32256-0959
Phone (904) 570-9404
Hospital & facility affiliations
- Trilogy Home Healthcare
- Trilogy Home Healthcare
- HCA Florida Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0073346 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Operating Company LLC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Specialists of Jacksonville | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| My Choice Operating Company LLC | Current | Accepting new patients | |
| Floridian Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Specialists of Jacksonville | Emergency Medicine | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030
8083 Parramore Rd
Jacksonville, FL 32244
Phone (904) 450-6760
9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740
4655 Salisbury Rd
Ste 220
Jacksonville, FL 32256
Phone (904) 570-9404
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4655 Salisbury Rd
Ste 110
Jacksonville, FL 32256
Phone (904) 570-9404
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1840 SE Port St Lucie Blvd
Ste 1840
Port St Lucie, FL 34952
Phone (772) 221-7620
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
462541 State Road 200
Yulee, FL 32097
Phone (904) 391-6300
Organizations & group practices 9
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.
-
- General Practice Physician
- Jacksonville, FL
- NPI 1174112007
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
-
- General Practice Physician
- Port St Lucie, FL
- NPI 1245983022
-
- Emergency Medicine Physician
- Saint Johns, FL
- NPI 1073200069
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Middleburg, FL
- NPI 1538834866
-
- Emergency Medicine Physician
- Crestview, FL
- NPI 1992150007
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1871529347
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1831365253
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124054945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863026",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863026",
"telephone_number": "904-346-5426",
"fax_number": "904-346-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BARRS ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044704",
"telephone_number": "904-308-7300",
"fax_number": "904-346-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0073346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "41851",
"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 Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.