North Florida Obstetrical and Gynecological Associates PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA

Practice address

11437 Central Pkwy
Suite 105
Jacksonville, FL 32224-2706

Phone

(904) 472-2300

Fax

(904) 472-2330

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. C. Cameron Greene Jr., M.D.

Title

President

Phone

(904) 472-2300

Specialties & licenses 1

Addresses

Other identifiers 26

Locations

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Ann Maxam, FNP, DNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1881351120
  NPD
• Karley Monberg, APRN, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1821853888
  NPD
• Bougainvilla T Bailey, ARNP, CMN

  • Advanced Practice Midwife
  • Jacksonville, FL
  • NPI 1346259066
  NPD (past)
• Leah Katherine Bell, DO

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
  • NPI 1245735042
  NPD (past)
• Bailey Rose Bunnell, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1033823919
  NPD (past)
• Sabrina Cade, CSFA

  • Surgical Assistant
  • Jacksonville Beach, FL
  • NPI 1073399697
  NPD (past)
• Amber Nicole Dean, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1265639785
  NPD (past)
• Kathryn Tyrrell Degoursey, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1659384766
  NPD (past)
• Debra Sue Hall, CNM, ARNP

  • Advanced Practice Midwife
  • Orange Park, FL
  • NPI 1962538371

  Obstetrics & Gynecology

  NPD (past)
• Abdul Rahman Kani, MD

  • Interventional Cardiology Physician
  • Jacksonville, FL
  • NPI 1982677068
  NPD (past)
• Aida A. Malonzo, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
  • NPI 1871614057
  NPD (past)
• Christine Morley, APRN

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
  • NPI 1871347526
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1316907926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16568",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456568",
            "telephone_number": "904-472-2300",
            "fax_number": "904-472-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 CENTRAL PKWY",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242706",
            "telephone_number": "904-472-2300",
            "fax_number": "904-472-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-472-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581118",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581119",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581129",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581108",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581112",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581102",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581116",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581104",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581110",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581123",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581106",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581126",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581105",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581117",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581120",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581121",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581109",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581113",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581114",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581125",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581107",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581115",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370581128",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Florida Lung Associates PLLC
• North Florida Medical Associates, Inc.
• North Florida Midwifery & Homebirth, LLC
• North Florida Multispecialty Physicians LLC
• North Florida OBGYN Jacksonville
• North Florida Oral & Facial Surgery, P.a.
• North Florida Otolaryngology Associates PA
• North Florida Pain Center PA
• North Florida Pathology PA
• North Florida Pediatrics PA

• Obstetrics & Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.