Individual provider Active NPI

Jean Max Herve Augustin, MD

  • Family Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1144202052
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90823 Issued in FL
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

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03239557MedicaidMS

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
I20040902000331 FL Practitioner - Internal MedicinePractitioner - Family Practice 3971579863 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90823FLMDFamily Medicine Physician
26141MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Hospitalists Inc CurrentSince Jan 4, 2016 Accepting new patients
West Florida Medical Associates P a Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hospital Internal Medicine PA CurrentSince Apr 1, 2017 Accepting new patients
West Florida Medical Associates, PA Family Medicine CurrentSince Jul 1, 2020 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 PastSince Aug 8, 2007 Accepting new patients
First Knight Medical Inc PastSince Nov 7, 2006 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 PastSince Oct 25, 2005 Accepting new patients
Florida Medical Associates LLC PastSince Apr 3, 2023 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Primary Medical Care R Ayala MD PA PastSince Jul 20, 2009 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.

View all 14

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

Verify at the official NPI Registry.