Individual provider Active NPI

Joan B Lehmann, MD

  • Addiction Medicine (Family Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1497702625
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
ME132178 Issued in FL
Practice address
4427 Emerson St
Jacksonville, FL 32207-4969
Phone
(904) 398-7015
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0044261 MD
Addiction Medicine (Family Medicine) Physician 207QA0401X ME132178 FL Primary

Addresses

Primary practice location

4427 Emerson St
Jacksonville, FL 32207-4969

Mailing address

2420 S Highway 29
Cantonment, FL 32533-5808
Phone (850) 968-3565

Other practice location 1

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4565

Other practice location 2

2420 S Highway 29
Cantonment, FL 32533-5808
Phone (850) 968-3565 ext. 16408

Other identifiers 2

IdentifierTypeStateIssuer
874600100MedicaidMD
022926300MedicaidFL

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
I20220218000795 FL Order and Referring Only - Family PracticePractitioner - Family Practice 0345372355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132178FLMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Washington Emergency Physicians, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1497702625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325335808",
            "telephone_number": "850-968-3565",
            "fax_number": "850-968-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 EMERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074969",
            "telephone_number": "904-398-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615803",
            "country_code": "US",
            "telephone_number": "410-787-4565",
            "fax_number": "410-766-7602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 S Highway 29",
            "address_purpose": "LOCATION",
            "city": "Cantonment",
            "state": "FL",
            "postal_code": "325335808",
            "country_code": "US",
            "telephone_number": "850-968-3565 x16408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMANN",
        "first_name": "JOAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0044261",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME132178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874600100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022926300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.