Individual provider Active NPI

Curtis Lawrence Storm, M.D.

  • Family Medicine Physician
  • Fleming Island, FL
National Provider Identifier
1528301090
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126828 Issued in FL
Practice address
1747 Baptist Clay Dr
Suite 340
Fleming Island, FL 32003-8502
Phone
(904) 264-4405
Fax
(904) 391-5380
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 ME126828 FL Primary

Addresses

Primary practice location

1747 Baptist Clay Dr
Suite 340
Fleming Island, FL 32003-8502

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Other practice location 1

2310 Village Square Pkwy Ste 200
Fleming Island, FL 32003-6351
Phone (904) 264-6404

Other identifiers 1

IdentifierTypeStateIssuer
P01662598OtherFLRR MEDICARE

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
I20160614002112 FL Practitioner - Family Practice 1951318716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

1747 Baptist Clay Rd
Suite 340
Fleming Island, FL 32003-8501
Phone (904) 264-4405

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Concierge Home Care Home health agency, Orange Park, FL, CCN 109771
  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Accentcare Home Health of Jacksonville Home health agency, Orange Park, FL, CCN 107725
  • Community Hospice of Northeast Florida Inc Hospice, Jacksonville, FL, CCN 101500
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126828FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc. Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
Baptist Primary Care Inc Family Medicine Current Accepting new patients
Telescope Health LLC CurrentSince Dec 19, 2023 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Jul 5, 2016 Accepting new patients
Telescope Health Medical Group, P.a. Past Accepting new patients

Locations

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

2310 Village Square Pkwy
Ste 200
Fleming Island, FL 32003
Phone (904) 264-6404

2310 Village Square Pkwy
Ste 206
Fleming Island, FL 32003
Phone (904) 264-4405

1747 Baptist Clay Dr
Ste 340
Fleming Island, FL 32003
Phone (904) 264-1628

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

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

Interoperability endpoints

  • Direct secure messaging: cstorm28203@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1528301090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 BAPTIST CLAY DR",
            "address_2": "SUITE 340",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038502",
            "telephone_number": "904-264-4405",
            "fax_number": "904-391-5380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 Village Square Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320036351",
            "country_code": "US",
            "telephone_number": "904-264-6404",
            "fax_number": "904-390-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORM",
        "first_name": "CURTIS",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01662598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.