Jonathan E Fountain MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50330 Issued in FL

Legal business name

JONATHAN E FOUNTAIN MD

Practice address

5976 Berryhill Rd
Milton, FL 32570

Phone

(850) 626-0400

Fax

(850) 626-0204

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan E Fountain, MD

Title

Sole Owner Practitioner

Phone

(850) 626-0400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255404620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32570",
            "telephone_number": "850-626-0400",
            "fax_number": "850-626-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32570",
            "telephone_number": "850-626-0400",
            "fax_number": "850-626-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN E FOUNTAIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER  PRACTITIONER",
        "authorized_official_telephone_number": "850-626-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "50330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "50330",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virgen M Jenkins, RBT
• Jessica Jewett
• Jailan Johnson
• Ledell Johnson Jr.
• Reginic Shanell Johnson, RBT
• Hannah Jones, APRN, MSN, FNP-C
• Jasmine Jones
• Teresa Jones
• Alexandra Jordan
• Joseph M Cherian MD PA

• Family Medicine Physician in Milton, FL
• Providers in Milton, 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 Mar 7, 2023; 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.