Active NPI
Richard Rhendyll Abitria, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Kings Bay, GA
National Provider Identifier
1184035909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- ME151301
- Practice address
- 881 Uss James Madison Rd
Kings Bay, GA 31547-2531 - Phone
- (904) 571-1363
- NPI assigned
- May 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME151301 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | ME151301 | FL | Primary |
Addresses
Primary practice location
881 Uss James Madison Rd
Kings Bay, GA 31547-2531
Mailing address
10176 Silverbrook TRL
Jacksonville, FL 32256-5860
Phone (904) 571-1363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME151301 | FL | MD | Addiction Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1184035909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10176 SILVERBROOK TRL",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565860",
"telephone_number": "904-571-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 USS JAMES MADISON RD",
"city": "KINGS BAY",
"state": "GA",
"postal_code": "315472531",
"telephone_number": "904-571-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABITRIA",
"first_name": "RICHARD",
"middle_name": "RHENDYLL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "ME151301",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "FL",
"license": "ME151301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Bay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.