Active NPI
Joan Marie Macksey, MD
- Obstetrics & Gynecology Physician
- Jacksonville, FL
National Provider Identifier
1326031121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME 65863
- Practice address
- 3627 University Blvd S
Suite 200
Jacksonville, FL 32216-4230 - Phone
- (904) 281-0780
- Fax
- (904) 296-0069
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME 65863 | FL | Primary |
Addresses
Primary practice location
3627 University Blvd S
Suite 200
Jacksonville, FL 32216-4230
Mailing address
3627 University Blvd S
Suite 200
Jacksonville, FL 32216-4230
Phone (904) 281-0780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25891 | Other | FL | BCBS |
| 375041800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 65863 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Family Practice Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1598869844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1326031121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S",
"address_2": "SUITE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164230",
"telephone_number": "904-281-0780",
"fax_number": "904-296-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S",
"address_2": "SUITE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164230",
"telephone_number": "904-281-0780",
"fax_number": "904-296-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKSEY",
"first_name": "JOAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME 65863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "25891",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375041800",
"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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.