Active NPI
Edward Giles Dudley-Robey, MD, NMD
- General Practice Physician
- Jacksonville Beach, FL
National Provider Identifier
1144515404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME177138
- Practice address
- 410 Jacksonville Dr
Jacksonville Beach, FL 32250-3812 - Phone
- (904) 351-0128
- NPI assigned
- Jun 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 848 | AL | |
| Naturopath | 175F00000X | 400055963 | NC | |
| Licensed Vocational Nurse | 164X00000X | VN191397 | CA | |
| Health Educator | 174H00000X | DSD2604 | CA | |
| General Practice Physician | 208D00000X | ME177138 | FL | Primary |
Addresses
Primary practice location
410 Jacksonville Dr
Jacksonville Beach, FL 32250-3812
Mailing address
2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198
Phone (818) 943-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2460 Old Moultrie Rd
Suite 1
St Augustine, FL 32086-4197
410 Jacksonville Dr
Jacksonville, FL 32250-3812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 848 | AL | MD | Mental Health Counselor |
| VN191397 | CA | MD | Licensed Vocational Nurse |
| DSD2604 | CA | MD | Health Educator |
| 400055963 | NC | MD | Naturopath |
| ME177138 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1144515404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 OLD MOULTRIE RD STE 1",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864198",
"telephone_number": "818-943-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 JACKSONVILLE DR",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503812",
"telephone_number": "904-351-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY-ROBEY",
"first_name": "EDWARD",
"middle_name": "GILES",
"name_prefix": "Dr.",
"credential": "MD, NMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AL",
"license": "848",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NC",
"license": "400055963",
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN191397",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "DSD2604",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME177138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.