Active NPI
Parthenon Medical PLLC
- Primary Care Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PARTHENON MEDICAL PLLC
- Practice address
- 5105 Bowden Rd Ste 3
Jacksonville, FL 32216-5907 - Phone
- (904) 660-7896
- Fax
- (904) 212-2227
- NPI assigned
- Sep 12, 2018
- Last updated
- Jan 9, 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
- Mr. Philip Carnevale, APRN, FNP-C
- Title
- Nurse Practitioner
- Phone
- (904) 609-3349
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Pediatric Nurse Practitioner | 363LP0200X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
5105 Bowden Rd Ste 3
Jacksonville, FL 32216-5907
Mailing address
5105 Bowden Rd Ste 3
Jacksonville, FL 32216-5907
Phone (904) 609-3349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101879200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2016818 | Parthenon Medical Center LLC | Certificate of waiver | Nov 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
5105 Bowden Rd
Ste 3
Jacksonville, FL 32216
Phone (904) 660-7896
301 W Platt St
Ste 387
Tampa, FL 33606
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1376049213
Multi-Specialty
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1194892869
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1285117549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 BOWDEN RD STE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165907",
"telephone_number": "904-609-3349",
"fax_number": "904-212-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 BOWDEN RD STE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165907",
"telephone_number": "904-660-7896",
"fax_number": "904-212-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTHENON MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-12",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "CARNEVALE",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "904-609-3349",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN, FNP-C"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101879200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 9, 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.