NPIMap

Individual provider Active NPI

Diana Catherine Maccario, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1205007036
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103566 Issued in FL
Practice address
9130 RG Skinner Pkwy
Jacksonville, FL 32256-0001
Phone
(904) 538-0950
Fax
(904) 538-0952
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN FL
Family Medicine Physician 207Q00000X ME103566 FL Primary

Addresses

Primary practice location

9130 RG Skinner Pkwy
Jacksonville, FL 32256-0001

Mailing address

9130 RG Skinner Pkwy
Jacksonville, FL 32256-0001
Phone (904) 538-0950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000365 FL Practitioner - Family Practice 5799826905 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Coast Family Medicine PAGroup PAC ID 4880791375, 5 clinicians

Practice addresses (Care Compare)

9130 RG Skinner Pkwy
Jacksonville, FL 32256-9661
Phone (904) 538-0950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRNFLMDAnesthesiology Physician
ME103566FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC Family Medicine CurrentSince Sep 2, 2016 Accepting new patients
Rmed LLC Family Medicine CurrentSince Sep 2, 2016 Accepting new patients
Harmonycares Complete Health Services, PLLC Family Medicine CurrentSince Dec 17, 2025 Accepting new patients
Iah of Florida, LLC Family Medicine CurrentSince Sep 2, 2016 Accepting new patients
Pophealthcare, LLC PastSince Apr 8, 2016 Accepting new patients

Locations

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: diana.maccario.1@16062.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1205007036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 RG SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560001",
            "telephone_number": "904-538-0950",
            "fax_number": "904-538-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 RG SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560001",
            "telephone_number": "904-538-0950",
            "fax_number": "904-538-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCARIO",
        "first_name": "DIANA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.