Organization Active NPI

Nealis Neurology

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1154348241
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME31867 Issued in FL
Legal business name
NEALIS NEUROLOGY
Practice address
7300 Beach Blvd
Ste a
Jacksonville, FL 32216-2946
Phone
(904) 725-5222
Fax
(904) 725-0038
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
James G Nealis, MD
Title
President
Phone
(904) 725-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME31867 FL Primary

Addresses

Primary practice location

7300 Beach Blvd
Ste a
Jacksonville, FL 32216-2946

Mailing address

PO Box 17809
Jacksonville, FL 32245-7809
Phone (904) 723-0015

Other identifiers 5

IdentifierTypeStateIssuer
DE9297OtherFLRAILROAD MEDICARE
15440OtherFLBCBS
293021OtherFLAVMED
Q0171OtherFLMEDICARE PTAN
278856OtherFLWELLCARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1154348241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-723-0015",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 BEACH BLVD",
            "address_2": "STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162946",
            "telephone_number": "904-725-5222",
            "fax_number": "904-725-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEALIS NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "NEALIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-725-5222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME31867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9297",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15440",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "293021",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q0171",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "278856",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.