Jcjtam, LLC.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JCJTAM, LLC.

Practice address

16703 Early Riser Ave Ste 287
Land O Lakes, FL 34638-0192

Phone

(844) 387-2476

Fax

(844) 387-2476

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

William Alvarez, CPCS

Title

Authorized Official

Phone

(800) 931-6086

Specialties & licenses 9

Addresses

Other identifiers 3

Other names 2

• Emerald Coast Integrated Care Doing business as
• VETERANS SPINE AND DISCSEEL CENTER OF AMERICA Doing business as

Locations

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1255036299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025275",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 EARLY RISER AVE STE 287",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346380192",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8909 University Pkwy suite a",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32514",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 N West Shore Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336075749",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7027 Old Madison Pike NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358062368",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 Estate Thomas, Suite 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte Amalie",
            "state": "VI",
            "postal_code": "00802",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "654 Ave Luis Munoz Rivera # 600",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009184123",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "City View Plaza, Suite 6000,",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00968",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2911 Turtle Creek Blvd Ste 925",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752196292",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Church St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372193304",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013266",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S Congress St Ste 1325",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392013301",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Poydras St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701306116",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3340 Peachtree Rd NE Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303261064",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3999 Commons Dr W Ste B",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325418446",
            "country_code": "US",
            "telephone_number": "844-387-2476 x702",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Brickell Ave Ste 1550",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331312824",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 S Boston Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741033311",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5011 Gate Pkwy Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560830",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JCJTAM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-931-6086",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "RV192",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119675800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME108549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Coast Integrated Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VETERANS SPINE AND DISCSEEL CENTER OF AMERICA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VETERANS SPINE AND DISCSEEL CENTER OF AMERICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Rhiann Jackson, M.S CCC, SLP
• Jacob Pedraza DMD PA
• Jai Bohle Inc
• Nadeen Jamal, DMD
• Javier F. Aponte Sr.
• JD the OT
• Yves Nemours Jean-Baptiste Jr., MD
• Jeanne Sellers, D.C., P.a.
• Jeanne Sellers, D.C., P.a.
• Debra C Jeffries, MD

• General Practice Physician in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.