Individual provider Active NPI

Joshua Aaron Russell, DO

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1396236469
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS19154 Issued in FL
Practice address
13720 Old Saint Augustine Rd Ste 1
Jacksonville, FL 32258-7415
Phone
(904) 288-5550
Fax
(904) 390-7453
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS19154 FL Primary
Hospitalist Physician 208M00000X V7777 TX
Family Medicine Physician 207Q00000X 34C.000622 OH
Hospitalist Physician 208M00000X OS19154 FL

Addresses

Primary practice location

13720 Old Saint Augustine Rd Ste 1
Jacksonville, FL 32258-7415

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Other identifiers 1

IdentifierTypeStateIssuer
116344500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221221002005 FL Practitioner - Family Practice 7719357458 Reassigns benefits to 2 organizations
I20250630002602 TX Practitioner - Family Practice 7719357458 Reassigns benefits to 2 organizations
I20260501001302 OH Practitioner - Family PracticePractitioner - Hospitalist 7719357458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
Community Hospitalist LLCGroup PAC ID 5496648123, 50 clinicians
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (512) 730-3056

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

13720 Old Saint Augustine Rd
Suite 1
Jacksonville, FL 32258-7415
Phone (904) 288-5550

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (512) 730-3056

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (440) 542-5000

205 Trinity Way
St Johns, FL 32259-1155
Phone (904) 450-8120

4901 Richard St
Jacksonville, FL 32207-7328
Phone (904) 425-0500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34C.000622OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC Family Medicine CurrentSince Dec 15, 2022 Accepting new patients
Hni Hospital Services of Florida, LLC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Hni Medical Services Family Medicine CurrentSince Jul 15, 2025 Accepting new patients
Hni Physician Services of Texas, Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

205 Trinity Way
St Johns, FL 32259
Phone (904) 308-1255

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1396236469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 OLD SAINT AUGUSTINE RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587415",
            "telephone_number": "904-288-5550",
            "fax_number": "904-390-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19154",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "V7777",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34C.000622",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS19154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116344500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.