Individual provider Active NPI

Laura R Dimmick, MD

  • Emergency Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1487674776
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME73498 Issued in FL
Practice address
820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209
Phone
(904) 396-5682
Fax
(904) 346-0864
NPI assigned
Jul 20, 2006
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME73498 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209

Mailing address

8649 Autumn Green Dr
Jacksonville, FL 32256-9560
Phone (904) 476-6438

Other practice location 1

841 Prudential Dr Ste 180
Jacksonville, FL 32207-8350
Phone (904) 202-3300

Other identifiers 5

IdentifierTypeStateIssuer
000786871DMedicaidGA
44334OtherFLBCBS OF FLORIDA
P00138982OtherFLRAILROAD MEDICARE
254874700MedicaidFL
P00395758OtherRAILROAD MEDICARE

Other names 1

  • Laura A Rahaim Former name

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
I20040708000357 FL Practitioner - Emergency Medicine 3779561659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Clinic IncGroup PAC ID 5092801647, 9 clinicians

Practice addresses (Care Compare)

841 Prudential Dr
Suite 180
Jacksonville, FL 32207-8350
Phone (904) 202-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Clinic Inc Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Apr 1, 2007 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Apr 1, 2007 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Apr 6, 2025 Accepting new patients
Cobblestone Emergency Physicians Emergency Medicine Past Accepting new patients
Quality Primary Care P a Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Emergency Physicians of St. Johns County Emergency Medicine Past Accepting new patients
Belfort Emergency Physicians Emergency Medicine Past Accepting new patients
Baptist Health Clinic Inc Emergency Medicine PastSince Aug 10, 2025 Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

820 Prudential Dr
Ste 713
Jacksonville, FL 32207
Phone (800) 936-5996

841 Prudential Dr
Ste 180
Jacksonville, FL 32207
Phone (904) 202-3300

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400

Organizations & group practices 10

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 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1487674776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 AUTUMN GREEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569560",
            "telephone_number": "904-476-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 713",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078209",
            "telephone_number": "904-396-5682",
            "fax_number": "904-346-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Prudential Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078350",
            "country_code": "US",
            "telephone_number": "904-202-3300",
            "fax_number": "904-202-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMMICK",
        "first_name": "LAURA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME73498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000786871D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "44334",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00138982",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254874700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00395758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "RAHAIM",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.