Active NPI
McGowan Medical Centers, PA
- General Practice Physician
- Jacksonville, FL
National Provider Identifier
1255859641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MCGOWAN MEDICAL CENTERS, PA
- Practice address
- 3021 N Main St
Jacksonville, FL 32206-2122 - Phone
- (904) 350-5544
- Fax
- (904) 350-9944
- NPI assigned
- Sep 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Royce McGowan
- Title
- President
- Phone
- (904) 350-5544
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
3021 N Main St
Jacksonville, FL 32206-2122
Mailing address
3021 N Main St
Jacksonville, FL 32206-2122
Phone (904) 350-5544
Other names 1
- MCGOWAN SPINAL REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250521000080 | FL | DME Supplier - Medical Supply Company | 0547528424 | Practice locations: Jacksonville, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| McGowan Medical Centers PA | Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3021 N Main St
Jacksonville, FL 32206
Phone (904) 350-5544
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jacksonville, FL
- NPI 1982562617
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1528673803
-
- Chiropractor
- Jacksonville, FL
- NPI 1255431615
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1073613295
-
- Chiropractor
- Jacksonville, FL
- NPI 1124594791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1255859641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 N MAIN ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322062122",
"telephone_number": "904-350-5544",
"fax_number": "904-350-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 N MAIN ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322062122",
"telephone_number": "904-350-5544",
"fax_number": "904-350-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGOWAN MEDICAL CENTERS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "MCGOWAN",
"authorized_official_first_name": "ROYCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-350-5544"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MCGOWAN SPINAL REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.