Individual provider Active NPI

Mark Helquist, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1427110642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
TRN8911 Issued in FL
Practice address
655 W 8TH St # C90
Clinical Center, 1St Floor
Jacksonville, FL 32209-6511
Phone
(904) 244-4225
Fax
(904) 244-3383
NPI assigned
Dec 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X TRN8911 FL Primary

Addresses

Primary practice location

655 W 8TH St # C90
Clinical Center, 1St Floor
Jacksonville, FL 32209-6511

Mailing address

655 W 8TH St # C90
Clinical Center, 1St Floor
Jacksonville, FL 32209-6511
Phone (904) 244-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100628000716 GA Practitioner - Diagnostic Radiology 9436200250 Reassigns benefits to 4 organizations
I20210914001540 FL Practitioner - Diagnostic Radiology 9436200250 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John D Archbold Memorial Hospital IncGroup PAC ID 4981502622, shared by 8 NPIs, 58 clinicians
Grady General HospitalGroup PAC ID 7618866518, shared by 4 NPIs, 31 clinicians
Hospital Authority of Mitchell CountyGroup PAC ID 6002724598, shared by 7 NPIs, 25 clinicians
Brooks County HospitalGroup PAC ID 1557279049, shared by 3 NPIs, 18 clinicians

Practice addresses (Care Compare)

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 228-2000

12067 Watch Tower Dr
Jacksonville, FL 32258-1199
Phone (229) 336-5284

24574 Harbour View Dr
Ponte Vedra Beach, FL 32082-1500
Phone (229) 263-4171

90 E Stephens St
Camilla, GA 31730-1836
Phone (229) 336-5284

903 N Court St
Quitman, GA 31643-1315
Phone (229) 263-4171

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

947 S Broad St
Thomasville, GA 31792-6161
Phone (229) 228-3710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN8911FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grady General Hospital CurrentSince May 1, 2010 Accepting new patients
Grady General Hospital Diagnostic Radiology CurrentSince Sep 20, 2021 Accepting new patients
John D. Archbold Memorial Hospital, Inc. Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
John D Archbold Memorial Hospital Inc CurrentSince May 1, 2010 Accepting new patients
Hospital Authority of Mitchell County Diagnostic Radiology CurrentSince Sep 20, 2021 Accepting new patients
Brooks County Hospital CurrentSince May 1, 2010 Accepting new patients
John D. Archbold Memorial Hospital CurrentSince May 1, 2010 Accepting new patients
Brooks County Hospital Diagnostic Radiology CurrentSince Sep 20, 2021 Accepting new patients
Hospital Authority of Mitchell County CurrentSince May 1, 2010 Accepting new patients

Locations

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427110642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST # C90",
            "address_2": "CLINICAL CENTER, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-4225",
            "fax_number": "904-244-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST # C90",
            "address_2": "CLINICAL CENTER, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-4225",
            "fax_number": "904-244-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELQUIST",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "TRN8911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.