Organization Active NPI

Hospitalist Medicine Physicians of Florida - Jacksonville II LLC

  • Internal Medicine Physician
  • Brentwood, TN
National Provider Identifier
1184354524
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOSPITALIST MEDICINE PHYSICIANS OF FLORIDA - JACKSONVILLE II LLC
Practice address
120 Brentwood Commons Way Ste 510
Brentwood, TN 37027-2028
Phone
(615) 371-5741
NPI assigned
Jun 16, 2022
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Laura Fall
Title
Manager
Phone
(253) 682-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

120 Brentwood Commons Way Ste 510
Brentwood, TN 37027-2028

Mailing address

120 Brentwood Commons Way Ste 510
Brentwood, TN 37027-2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220630001077 FL Part B Supplier - Clinic/Group Practice 2264812791 Receives reassigned benefits from 72 practitioners

National Provider Directory

National Provider Directory

Locations

1725 Manatee Ave W
Bradenton, FL 34205
Phone (941) 746-5226

2614 43rd St W
Bradenton, FL 34209
Phone (941) 241-2565

549 Sky Harbor Dr
Clearwater, FL 33759
Phone (559) 784-8371

644 S Woodland Blvd
Deland, FL 32720
Phone (727) 859-4100

12740 Lanier Rd
Jacksonville, FL 32226
Phone (904) 757-0600

410 Caring Dr
Lake Mary, FL 32746
Phone (407) 477-5957

1100 S Courtenay Pkwy
Merritt Island, FL 32952
Phone (321) 269-4240

11120 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 550-0021

8600 US Highway 19 N
#C
Pinellas Park, FL 33782
Phone (559) 784-8371

16605 SE 74th Soulliere Ave
The Villages, FL 32162
Phone (210) 338-5220

Practitioners & affiliated clinicians

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1184354524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRENTWOOD COMMONS WAY STE 510",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRENTWOOD COMMONS WAY STE 510",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272028",
            "telephone_number": "615-371-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALIST MEDICINE PHYSICIANS OF FLORIDA - JACKSONVILLE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-682-6040"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.