Active NPI
Docvisits, LLC
- Transplant Hepatology Physician
- Jacksonville, FL
National Provider Identifier
1144822628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Hepatology Physician
- Legal business name
- DOCVISITS, LLC
- Doing business as
- DocVisits, LLC
- Practice address
- 6742 Rhode Island Dr W
Jacksonville, FL 32209-1436 - Phone
- (904) 738-9533
- Fax
- (904) 438-5211
- NPI assigned
- Nov 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dallas Evans, APRN
- Title
- Chief Practitioner
- Phone
- (904) 438-5211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Hepatology Physician | 207RT0003X | Primary | ||
| Critical Access Hospital | 282NC0060X | |||
| Adult Health Nurse Practitioner | 363LA2200X |
Addresses
Primary practice location
6742 Rhode Island Dr W
Jacksonville, FL 32209-1436
Mailing address
6742 Rhode Island Dr W
Jacksonville, FL 32209-1436
Phone (904) 357-0277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008700800 | Medicaid | FL |
Other names 1
- DocVisits, LLC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Jacksonville | Health Information Exchange (HIE) | |
| CONNECT URL | ConnectWise | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Melbourne, FL
- NPI 1083981260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604966400000",
"number": "1144822628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6742 RHODE ISLAND DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322091436",
"telephone_number": "904-357-0277",
"fax_number": "904-438-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6742 RHODE ISLAND DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322091436",
"telephone_number": "904-738-9533",
"fax_number": "904-438-5211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCVISITS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "DALLAS",
"authorized_official_title_or_position": "CHIEF PRACTITIONER",
"authorized_official_telephone_number": "904-438-5211",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207RT0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Transplant Hepatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008700800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Jacksonville",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6742 Rhode Island Dr W",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322091436",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ConnectWise",
"affiliation": "N",
"endpointDescription": "Cyber Security",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6742 Rhode Island Dr W",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322091436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "DocVisits, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.