Individual provider Active NPI

Edward Orshansky, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1285054460
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME130874 Issued in FL
Practice address
12412 San Jose Blvd Ste 404
Jacksonville, FL 32223-8620
Phone
(904) 464-1044
Fax
(904) 734-6281
NPI assigned
Apr 25, 2014
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME130874 FL Primary

Addresses

Primary practice location

12412 San Jose Blvd Ste 404
Jacksonville, FL 32223-8620

Mailing address

12412 San Jose Blvd Ste 404
Jacksonville, FL 32223-8620
Phone (904) 464-1044

Other practice location 1

575 SE 3rd Ave
Lake Butler, FL 32054-2647
Phone (386) 496-1922

Other identifiers 1

IdentifierTypeStateIssuer
128705300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120003394 FL Practitioner - Family PracticePractitioner - Hospitalist 8820218548 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians
Medlink Management Services IncGroup PAC ID 2466360797, 26 clinicians
Akshaya Balaji LLCGroup PAC ID 9638138860, 4 clinicians

Practice addresses (Care Compare)

12412 San Jose Blvd
Suite 404
Jacksonville, FL 32223-8620
Phone (904) 464-1044

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

575 SE 3Rd Ave
Lake Butler, FL 32054-2647

6000 Tarawood Dr
Orlando, FL 32819-4422
Phone (407) 876-1700

716 E Dorchester Dr
Saint Johns, FL 32259-6286
Phone (904) 646-8788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Management Services Inc CurrentSince Mar 1, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Sep 16, 2017 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 8, 2020 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jan 3, 2023 Accepting new patients
Edward Orshansky MD Inc Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Hni Medical Services of Florida, LLC Family Medicine CurrentSince Dec 5, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 8, 2020 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 2, 2025 Accepting new patients
Guardian Physician Group LLC CurrentSince Jan 1, 2026 Accepting new patients
Sound Physicians of Florida IV, LLC Family Medicine CurrentSince Sep 16, 2017 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Aug 1, 2018 Accepting new patients
Akshaya Balaji LLC CurrentSince Nov 8, 2023 Accepting new patients
Medlink Management Services Inc Past Accepting new patients
St Vincent's Full Service Urgent Care, LLC Past Accepting new patients

Locations

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

12311 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 262-7211

12412 San Jose Blvd
Ste 404
Jacksonville, FL 32223
Phone (904) 379-6988

4134 Dunn Ave
Jacksonville, FL 32218
Phone (904) 665-2821

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

6488 103rd St
Ste A
Jacksonville, FL 32210
Phone (904) 450-6800

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

858 Monument Rd
Ste A
Jacksonville, FL 32225
Phone (904) 450-6600

858 Monument Rd
Ste B
Jacksonville, FL 32225
Phone (904) 450-8060

575 SE 3rd Ave
Ste 2
Lake Butler, FL 32054
Phone (386) 496-1933

575 SE 3rd Ave
Ste 3
Lake Butler, FL 32054

850 E Main St
Lake Butler, FL 32054
Phone (386) 496-1922

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 264-8621

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3100 E Fletcher Ave
#C
Tampa, FL 33613

Interoperability endpoints

  • Direct secure messaging: edward.orshansky.1@8042.direct.athenahealth.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1285054460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238620",
            "telephone_number": "904-464-1044",
            "fax_number": "904-734-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD STE 404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238620",
            "telephone_number": "904-464-1044",
            "fax_number": "904-734-6281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 SE 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Butler",
            "state": "FL",
            "postal_code": "320542647",
            "country_code": "US",
            "telephone_number": "386-496-1922",
            "fax_number": "386-496-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORSHANSKY",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME130874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128705300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.