Individual provider Active NPI

Mohammed Abdul Muquith

  • Family Nurse Practitioner
  • Yulee, FL
National Provider Identifier
1245027622
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038132 Issued in FL
Practice address
96031 Victorias PL Unit 111
Yulee, FL 32097-8633
Phone
(904) 367-3372
NPI assigned
Apr 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11038132 FL Primary
Nurse Practitioner 363L00000X 242664 LA

Addresses

Primary practice location

96031 Victorias PL Unit 111
Yulee, FL 32097-8633

Mailing address

4815 Sweetgrass PL Unit 201
Jacksonville, FL 32224-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250527002304 FL Practitioner - Nurse Practitioner 4789103417
I20250919001116 LA Practitioner - Nurse Practitioner 4789103417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

3439 Hwy 1256
Sulphur, LA 70665-8817
Phone (337) 607-0037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
242664LAMDNurse Practitioner
APRN11038132FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical, PA CurrentSince May 1, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 22, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Avecina Medical PA CurrentSince May 1, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

96031 Victorias Pl
Unit 111
Yulee, FL 32097
Phone (904) 230-6988

9414 E Park Ave
Houma, LA 70363
Phone (985) 601-5895

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

3439 Highway 1256
Sulphur, LA 70665
Phone (337) 607-0037

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1245027622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 SWEETGRASS PL UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96031 VICTORIAS PL UNIT 111",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320978633",
            "telephone_number": "904-367-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUQUITH",
        "first_name": "MOHAMMED",
        "middle_name": "ABDUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038132",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "242664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

Verify at the official NPI Registry.