Jax Family Health Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAX FAMILY HEALTH CLINIC PLLC

Practice address

130 Land Grant St Ste 6
St Augustine, FL 32092-2262

Phone

(904) 999-4684

NPI assigned

Oct 13, 2025

Organization subpart

No

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

Authorized official

Name

Subhadra Chereddy, MDNPI 1255591103

Title

Ceo

Phone

(904) 999-4684

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Subhadra Chereddy, MBBS

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1255591103
  NPD Authorized official

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1326914045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAND GRANT ST STE 6",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922262",
            "telephone_number": "904-999-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LAND GRANT ST STE 6",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922262",
            "telephone_number": "904-999-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX FAMILY HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "CHEREDDY",
        "authorized_official_first_name": "SUBHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-999-4684",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Janz, LMHC
• Laura Jaramillo Apple, OT
• Ryan Jarnes, CRNA
• Kumait Jaroje, M.D.
• Jason Jones (Loli Behavioral Solutions)
• Paul David Jayachandra, M D P A
• Michael Stanley Jecen, PA
• Kalisha Shevoin Jefferson
• Matthew Joseph Jeffs, PT
• Barbara Jenkin, MA,CAP

• Family Medicine Physician in St Augustine, FL
• Providers in St Augustine, 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 Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.