Cindy S Wright, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS12723 Issued in FL

Practice address

12627 San Jose Blvd
Ste 902
Jacksonville, FL 32223-8645

Phone

(843) 450-5202

Fax

(843) 450-5202

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: Psychiatry

Education

Oklahoma State University College of Osteopathic Medicine, 1994

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cindy S Wright DO PLLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1942862206
  Medicare reassignment NPD Authorized official
• Wrights Family Healthcare Inc

  • Family Medicine Physician
  • Conway, SC
  • NPI 1255347621
  NPD (past) Authorized official
• Rivertown Primary Medical

  • Family Medicine Physician
  • Conway, SC
  • NPI 1770692808
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1326062183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD",
            "address_2": "STE 902",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238645",
            "telephone_number": "843-450-5202",
            "fax_number": "904-647-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 SAN JOSE BLVD",
            "address_2": "STE 902",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238645",
            "telephone_number": "843-450-5202",
            "fax_number": "843-450-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CINDY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "0553",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO445",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T00736",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013957100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery Zona Wright
• Brittany Nicole Wright, APRN
• Bryan Earl Wright
• Christal Cierra Wright, PHARMD
• Christine E Wright
• Destiny Pratt Wright
• Erika Lynette Wright, L.M.T
• Hannah Wright
• Haylee Wright
• Howard Wright

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.