Active NPI
Justin Ryan Clay, MD
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME173335
- Practice address
- 841 Prudential Dr Ste 1400
Jacksonville, FL 32207-8364 - Phone
- (904) 396-5682
- NPI assigned
- Apr 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME173335 | FL | Primary |
Addresses
Primary practice location
841 Prudential Dr Ste 1400
Jacksonville, FL 32207-8364
Mailing address
13504 Citicards Way Unit 2214
Jacksonville, FL 32258-6455
Phone (478) 998-0353
Other practice location 1
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2003
Other practice location 2
University Of Tennessee 920 Madison Avenue Suite 447
Memphis, TN 38163-0001
Phone (901) 448-7635
Other practice location 3
1356 Lusitana St Fl 6
Honolulu, HI 96813-2409
Phone (808) 586-8231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11850 Atlantic Blvd
Jacksonville, FL 32225-2918
Phone (904) 998-5000
14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone (904) 271-6000
1747 Baptist Clay Dr
Suite 250
Fleming Island, FL 32003-8502
Phone (904) 516-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME173335 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
841 Prudential Dr
Ste 1400
Jacksonville, FL 32207
Phone (904) 202-2000
11850 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 702-1330
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Emergency Resources Group
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
dba Emergency Resource Group
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1225667801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13504 CITICARDS WAY UNIT 2214",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322586455",
"telephone_number": "478-998-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR STE 1400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078364",
"telephone_number": "904-396-5682"
}
],
"practiceLocations": [
{
"address_1": "2001 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735148",
"country_code": "US",
"telephone_number": "904-639-2003",
"fax_number": "904-639-2015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "University Of Tennessee 920 Madison Avenue Suite 447",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381630001",
"country_code": "US",
"telephone_number": "901-448-7635",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1356 Lusitana St Fl 6",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968132409",
"country_code": "US",
"telephone_number": "808-586-8231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAY",
"first_name": "JUSTIN",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME173335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.