NPIMap

Individual provider Active NPI

Brett J Lawson

  • Family Medicine Physician
  • Callahan, FL
National Provider Identifier
1205369154
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME154459 Issued in FL
Practice address
450077 State Road 200 Ste 12
Callahan, FL 32011-3863
Phone
(904) 633-0560
NPI assigned
Apr 7, 2017
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME154459 FL Primary

Addresses

Primary practice location

450077 State Road 200 Ste 12
Callahan, FL 32011-3863

Mailing address

275 Heron CT
Saint Marys, GA 31558-4182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200715001792 GA Practitioner - Family Practice 0648539494 Reassigns benefits to 2 organizations
I20220305000109 FL Practitioner - Family Practice 0648539494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

11043 Crystal SPG Rd
Suite 14
Jacksonville, FL 32221-4107
Phone (904) 427-8550

409 Kings Rd S
Callahan, FL 32011-4128
Phone (904) 549-3593

4215 Plantation Oaks Blvd
Orange Park, FL 32065-3641
Phone (904) 633-0820

51 Lindsey LN
Kingsland, GA 31548-6836
Phone (912) 576-2344

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-7874

655 W 8TH St
Jacksonville, FL 32209-6511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154459FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Mar 3, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Chatham Hosptialists, LLC CurrentSince Aug 2, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Family Medicine Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Mar 3, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Mar 3, 2022 Accepting new patients

Locations

450077 State Road 200
Ste 12
Callahan, FL 32011
Phone (904) 633-0560

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821

5354 Reynolds St
Ste 424
Savannah, GA 31405
Phone (912) 819-5999

Interoperability endpoints

  • Direct secure messaging: blawson561829@direct.shands.ufl.edu

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 8

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1205369154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HERON CT",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450077 STATE ROAD 200 STE 12",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113863",
            "telephone_number": "904-633-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "BRETT",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME154459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callahan, FL

Sources for this page

Verify at the official NPI Registry.