Individual provider Active NPI

Jesus M Logronio, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1437244571
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48374 Issued in FL
Practice address
9857 Old Saint Augustine Rd Ste 1
Jacksonville, FL 32257-8821
Phone
(904) 861-1900
Fax
(833) 505-2763
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME48374 FL Primary

Addresses

Primary practice location

9857 Old Saint Augustine Rd Ste 1
Jacksonville, FL 32257-8821

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 698-3720

Other practice location 1

6545 Normandy Blvd
Jacksonville, FL 32205-6201
Phone (904) 861-1900

Other practice location 2

4160 University Blvd S
Jacksonville, FL 32216-4317
Phone (904) 861-1900

Other practice location 3

2255 Dunn Ave Ste 100
Jacksonville, FL 32218-4739
Phone (904) 861-1900

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
I20070206000366 FL Practitioner - General Practice 0345242244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Doctors Center IncGroup PAC ID 9133020787, 11 clinicians

Practice addresses (Care Compare)

9857 Old Saint Augustine Rd
Suite 1
Jacksonville, FL 32257-8821
Phone (904) 861-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctors Center Inc Family Medicine CurrentSince Sep 2, 2006 Accepting new patients
The Doctors Center Inc Family Medicine PastSince Dec 1, 2024 Accepting new patients
Pediatric Associates at Argyle PA Past Accepting new patients

Locations

2255 Dunn Ave
Ste 100
Jacksonville, FL 32218
Phone (904) 292-0322

4160 University Blvd S
Jacksonville, FL 32216
Phone (904) 308-2058

9857 Old St Augustine Rd
Ste 1
Jacksonville, FL 32257
Phone (904) 861-1900

6545 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 861-1900

2255 Dunn Ave
Jacksonville, FL 32218
Phone (904) 292-0322

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1437244571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-698-3720",
            "fax_number": "689-698-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9857 OLD SAINT AUGUSTINE RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578821",
            "telephone_number": "904-861-1900",
            "fax_number": "833-505-2763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 Normandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322056201",
            "country_code": "US",
            "telephone_number": "904-861-1900",
            "fax_number": "833-505-2766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4160 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164317",
            "country_code": "US",
            "telephone_number": "904-861-1900",
            "fax_number": "904-292-9264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 Dunn Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184739",
            "country_code": "US",
            "telephone_number": "904-861-1900",
            "fax_number": "833-505-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGRONIO",
        "first_name": "JESUS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.