Individual provider Active NPI

Marcus Decarvalho, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1427213727
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 108768 Issued in FL
Practice address
6817 Southpoint Pkwy Ste 1301
Jacksonville, FL 32216-6297
Phone
(904) 527-8777
Fax
(904) 379-5744
NPI assigned
Jul 25, 2008
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X ME 108768 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 1301
Jacksonville, FL 32216-6297

Mailing address

6817 Southpoint Pkwy Ste 1301
Jacksonville, FL 32216-6297
Phone (904) 527-8777

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120816000122 FL Practitioner - PsychiatryPractitioner - Neurology 6002088457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wekiva Springs Center LLCGroup PAC ID 0042395931, 9 clinicians

Practice addresses (Care Compare)

3947 Salisbury Rd
Jacksonville, FL 32216-6115
Phone (904) 296-3533

6817 Southpoint Pkwy
Suite 1301
Jacksonville, FL 32216-6297
Phone (904) 527-8777

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for a Healthy Mind and Wellbeing LLC Psychiatry CurrentSince Jul 1, 2012 Accepting new patients
Wekiva Springs Center LLC Psychiatry CurrentSince Aug 15, 2014 Accepting new patients

Locations

3947 Salisbury Rd
Jacksonville, FL 32216
Phone (904) 296-3522

6817 Southpoint Pkwy
Ste 1301
Jacksonville, FL 32216
Phone (904) 527-8777

1677 Wells Rd
Ste A
Orange Park, FL 32073
Phone (904) 264-2297

350 Corporate Way
Ste 100
Orange Park, FL 32073
Phone (904) 515-6858

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4603/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marcus.de.carvalho.1@4603.direct.athenahealth.com
  • Direct secure messaging: marcus.decarvalho@healthymind.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1427213727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166297",
            "telephone_number": "904-527-8777",
            "fax_number": "904-379-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166297",
            "telephone_number": "904-527-8777",
            "fax_number": "904-379-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARVALHO",
        "first_name": "MARCUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 108768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.