Active NPI
Jean Max Herve Augustin, MD
- Family Medicine Physician
- Zephyrhills, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME90823
- Practice address
- 38152 Medical Center Ave
Zephyrhills, FL 33540-1380 - Phone
- (813) 355-4373
- Fax
- (813) 355-4540
- NPI assigned
- Nov 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME90823 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 26141 | MS |
Addresses
Primary practice location
38152 Medical Center Ave
Zephyrhills, FL 33540-1380
Mailing address
38152 Medical Center Ave
Zephyrhills, FL 33540-1380
Phone (813) 355-4373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03239557 | Medicaid | MS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902000331 | FL | Practitioner - Internal Medicine | 3971579863 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90823 | FL | MD | Family Medicine Physician |
| 26141 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Coral Hospitalists Inc | Current | Accepting new patients | |
| West Florida Medical Associates P a | Family Medicine | Current | Accepting new patients |
| Hospital Internal Medicine PA | Current | Accepting new patients | |
| West Florida Medical Associates, PA | Family Medicine | Current | Accepting new patients |
| Palms of Pasadena Emergency Physicians LLC | Past | Accepting new patients | |
| Osprey Emergency Physicians LLC | Past | Accepting new patients | |
| Family Practice Associates of Riverview LLC | Family Medicine | Past | Accepting new patients |
| First Knight Medical Inc | Past | Accepting new patients | |
| Rockledge Hospitalist Services LLC | Past | Accepting new patients | |
| Silver Wings Independence at Home LLC | Past | Accepting new patients | |
| Wellcare Medical Associates | Family Medicine | Past | Accepting new patients |
| Florida Medical Associates LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients | |
| Primary Medical Care R Ayala MD PA | Past | Accepting new patients |
Locations
3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558
3400 N Lecanto Hwy
#A
Beverly Hills, FL 34465
Phone (352) 746-2227
3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Beverly Hills, FL
- NPI 1265515001
Family Medicine, FL
-
- Family Medicine Physician
- Riverview, FL
- NPI 1821209958
Family Medicine
-
- Family Medicine Physician
- Inverness, FL
- NPI 1770724130
Family Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Plant City, FL
- NPI 1780655647
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
-
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1063461960
-
- Emergency Medicine Physician
- South Pasadena, FL
- NPI 1164436341
-
- Multi-Specialty Clinic/Center
- Dade City, FL
- NPI 1790799526
-
- Emergency Medicine Physician
- Rockledge, FL
- NPI 1699068908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1144202052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38152 MEDICAL CENTER AVE",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335401380",
"telephone_number": "813-355-4373",
"fax_number": "813-355-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38152 MEDICAL CENTER AVE",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335401380",
"telephone_number": "813-355-4373",
"fax_number": "813-355-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTIN",
"first_name": "JEAN",
"middle_name": "MAX HERVE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME90823",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "26141",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03239557",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.