Organization Active NPI

Eighth Street Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1124266846
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3181 Issued in FL
Legal business name
EIGHTH STREET FOOT AND ANKLE LLC
Practice address
915 W Monroe St Ste 101
Jacksonville, FL 32204-1177
Phone
(904) 355-1553
Fax
(904) 356-7774
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Dr. John Gerald Harris Jr., DPMNPI 1922068238
Title
Owner
Phone
(904) 355-1553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3181 FL Primary

Addresses

Primary practice location

915 W Monroe St Ste 101
Jacksonville, FL 32204-1177

Mailing address

915 W Monroe St Ste 101
Jacksonville, FL 32204-1177
Phone (904) 355-1553

Other practice location 1

2334 S 8th St Ste 1
Fernandina Beach, FL 32034-1979
Phone (904) 277-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110720000511 FL Part B Supplier - Clinic/Group Practice 7113195025 Receives reassigned benefits from 1 practitioner
Practice locations: Fernandina Beach, FL; Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

2334 S 8th St
Ste 1
Fernandina Beach, FL 32034
Phone (904) 277-8370

431 W 8th St
Jacksonville, FL 32206
Phone (904) 355-1553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1124266846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W MONROE ST STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041177",
            "telephone_number": "904-355-1553",
            "fax_number": "904-356-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W MONROE ST STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041177",
            "telephone_number": "904-355-1553",
            "fax_number": "904-356-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2334 S 8th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320341979",
            "country_code": "US",
            "telephone_number": "904-277-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EIGHTH STREET FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-355-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3181",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.