Organization Active NPI

Michael a. Stephens MD PA

  • Family Medicine Physician
  • Orange Park, FL
National Provider Identifier
1164530382
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL A. STEPHENS MD PA
Practice address
1701 Park Ave
Orange Park, FL 32073-4946
Phone
(904) 510-2382
Fax
(904) 407-7839
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Michael Anthony StephensNPI 1801888607
Title
Physician
Phone
(904) 510-2382

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1701 Park Ave
Orange Park, FL 32073-4946

Mailing address

1701 Park Ave
Orange Park, FL 32073-4946
Phone (904) 982-6453

Other names 2

  • Stephens Family Practice Doing business as
  • michael A Stephens MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251008001261 FL Part B Supplier - Clinic/Group Practice 3274541966 Receives reassigned benefits from 1 practitioner
Practice locations: Orange Park, FL

National Provider Directory

National Provider Directory

Locations

1008 Kingsley Ave
Orange Park, FL 32073

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1164530382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734946",
            "telephone_number": "904-982-6453",
            "fax_number": "904-407-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734946",
            "telephone_number": "904-510-2382",
            "fax_number": "904-407-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. STEPHENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-510-2382"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "michael A Stephens MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.