Individual provider Active NPI

Julie Marie McKay, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1144336165
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0048852 Issued in FL
Practice address
1536 N Jefferson St
Jacksonville, FL 32209-6525
Phone
(904) 475-5800
Fax
(904) 232-2149
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0048852 FL Primary

Addresses

Primary practice location

1536 N Jefferson St
Jacksonville, FL 32209-6525

Mailing address

8005 Whisper Lake LN E
Ponte Vedra Beach, FL 32082-3114
Phone (904) 923-4327

Other identifiers 1

IdentifierTypeStateIssuer
266097100MedicaidFL

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
I20070816000110 FL Practitioner - Internal Medicine 0446342737 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048852FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Sep 21, 2020 Accepting new patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Sep 21, 2020 Accepting new patients
Baptist Primary Care Inc Internal Medicine Past Accepting new patients
N E Florida Internal Medicine PA Internal Medicine PastSince Feb 23, 2007 Accepting new patients
Baptist Primary Care Inc Past Accepting new patients
Jacksonville Internal Medicine Internal Medicine Past Accepting new patients

Locations

611 E Adams St
Jacksonville, FL 32202
Phone (904) 359-0457

850 6th Ave S
Ste 500
Jacksonville Beach, FL 32250
Phone (904) 224-3550

Interoperability endpoints

  • Direct secure messaging: julie.mckay.1@16002.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1144336165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 WHISPER LAKE LN E",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823114",
            "telephone_number": "904-923-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096525",
            "telephone_number": "904-475-5800",
            "fax_number": "904-232-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266097100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.