Active NPI
McGowan Medical Centers, PA
Doing business as McGowan Spinal Rehabilitation Center
- General Practice Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MCGOWAN MEDICAL CENTERS, PA
- Doing business as
- McGowan Spinal Rehabilitation Center
- Practice address
- 3021 N Main St
Jacksonville, FL 32206-2122 - Phone
- (904) 350-5544
- Fax
- (904) 350-9944
- NPI assigned
- Sep 6, 2017
- Last updated
- Dec 13, 2024
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Jacksonville, FL
- NPI 1568431153
-
- 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.