Families First Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILIES FIRST MEDICAL GROUP LLC

Practice address

11555 Central Pkwy Ste 402
Jacksonville, FL 32224-2695

Phone

(904) 747-3800

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tracee Holzendorf, RN, MSN

Title

Administrator

Phone

(904) 608-0095

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Brassinga, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1184508020

  FL

  Medicare reassignment Care Compare group NPD
• Myeshia Carter, APRN

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1184300808

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Kia Michon Mitchell, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1184602583

  Family Medicine, FL

  Medicare reassignment Care Compare group NPD
• Brandy Sheree Fulton, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1043873441

  FL

  Medicare reassignment NPD
• Thanh M Nguyen, MD

  • Pediatric Endocrinology Physician
  • Jacksonville, FL
  • NPI 1831296656
  NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1154942563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8246 RIDING CLUB RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567266",
            "telephone_number": "904-707-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 CENTRAL PKWY STE 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242695",
            "telephone_number": "904-747-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES FIRST MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "HOLZENDORF",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-608-0095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tholzendorf@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12086 Fort Caroline Rd Ste 103",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322252688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tholzendorf@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12086 Fort Caroline Rd Ste 103",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322252688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tholzendorf@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12086 Fort Caroline Rd Ste 103",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322252688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindy Falor, LMHC,CAP
• Katherine D Falwell, PH.D., BCBA-D
• Fame Speech and Myo
• Famh Enterprise, LLC
• Familia Supporting Hand, LLC
• Family Allergy & Asthma Consultants
• Family Behavioral Support
• Family Care Partners of Northeast Florida LLC
• Family Care Partners of Northeast Florida LLC
• Family Care Partners of Northeast Florida LLC

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.