Individual provider Active NPI

Edward Giles Dudley-Robey, MD, NMD

  • General Practice Physician
  • Jacksonville Beach, FL
National Provider Identifier
1144515404
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME177138 Issued in FL
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

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
848ALMDMental Health Counselor
VN191397CAMDLicensed Vocational Nurse
DSD2604CAMDHealth Educator
400055963NCMDNaturopath
ME177138FLMDGeneral 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

Verify at the official NPI Registry.