Organization Active NPI

McGowan Medical Centers, PA

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1255859641
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Dec 13, 2024

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521000080 FL DME Supplier - Medical Supply Company 0547528424 Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
McGowan Medical Centers PA3021 N Main St, Jacksonville, FL 32206-2122(904) 350-5544 Orthoses: Off-The-Shelf Accepts assignmentParticipating since Apr 1, 2021

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.