Courtney B Fahnhorst Vidrine, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

85566 Issued in GA

Practice address

205 Trinity Way
Saint Johns, FL 32259-1155

Phone

(904) 410-6040

NPI assigned

Jun 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Saint Louis University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians

Murthy Holdings Inc.Group PAC ID 3779972542, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent's St Johns County Hospital, St. Johns, FL, CCN 100361

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJHCDD

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.

• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Murthy Holdings Inc.

  dba Well & You

  • Interventional Cardiology Physician
  • Jacksonville, FL
  • NPI 1275298747

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Northeast Florida Wound Cure and Hyperbaric Medicine PLLC

  dba Gable Wound Care and Hyperbaric Medicine

  • Family Medicine Physician
  • Saint Johns, FL
  • NPI 1568359792

  Single Specialty

  Medicare reassignment NPD Authorized official
• Hni Hospital Services of Florida, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Panama City, FL
  • NPI 1144851411

  Single Specialty

  Medicare reassignment NPD
• Well & You ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
  • NPI 1306679279
  NPD (past)

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

• St Vincents Health System Inc

  dba Ascension St Vincent's St. Johns County

  • General Acute Care Hospital
  • Saint Johns, FL
  • NPI 1861078651
  Care Compare affiliation

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1245526466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKETSIDE AVE STE 404",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811542",
            "telephone_number": "904-410-6040",
            "fax_number": "904-914-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TRINITY WAY",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322591155",
            "telephone_number": "904-410-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNHORST VIDRINE",
        "first_name": "COURTNEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME118350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "85566",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118350",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME118350",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME118350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urdif T Encarnacion
• Endeavor Health Center LLC (Endeavor Health Center)
• Erica Schulte Pmhnp
• Eudiamondia, PLLC
• Rhianna Fagan, APRN
• Jasmine Fahrnbauer, D.C.
• Family Focused ABA LLC
• Tera Faschingbauer, LCSW
• Laura Fasolt, PHARM.D.
• Justin Fazio

• Family Medicine Physician in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.