Active NPI
Joan B Lehmann, MD
- Addiction Medicine (Family Medicine) Physician
- Jacksonville, FL
National Provider Identifier
1497702625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- ME132178
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 874600100 | Medicaid | MD | |
| 022926300 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220218000795 | FL | Order and Referring Only - Family Practice | 0345372355 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME132178 | FL | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Glen Burnie, MD
- NPI 1215983853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.