Individual provider Active NPI

Anna Marie Tran, DO

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1528492899
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20813 Issued in FL
Practice address
2627 Riverside Ave
Jacksonville, FL 32204-4717
Phone
(904) 308-7372
NPI assigned
Aug 22, 2013
Reactivated
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Family Medicine Physician 207Q00000X OS20813 FL Primary

Addresses

Primary practice location

2627 Riverside Ave
Jacksonville, FL 32204-4717

Mailing address

2627 Riverside Ave
Jacksonville, FL 32204-4717
Phone (904) 308-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240531002360 FL Practitioner - Family Practice 2961805155 Reassigns benefits to 2 organizations
I20241029001298 TN Practitioner - Family Practice 2961805155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2021
Medicare assignment
May accept Medicare assignment
Group practices
St Vincent'S Full Service Urgent Care, LLCGroup PAC ID 4183879364, 29 clinicians

Practice addresses (Care Compare)

7963 Normandy Blvd
Jacksonville, FL 32221-6640
Phone (904) 786-0440

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20813FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent'S Full Service Urgent Care, LLC CurrentSince May 12, 2024 Accepting new patients
Agape Community Health Center, Inc. CurrentSince May 1, 2025 Accepting new patients
Medicos General PLLC Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Agape Community Health Center, Inc CurrentSince May 1, 2025 Accepting new patients
The Camellia Foundation Family Medicine CurrentSince Sep 9, 2024 Accepting new patients

Locations

120 King St
Jacksonville, FL 32204
Phone (904) 800-6347

5460 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 800-6347

3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656

1680 Dunn Ave
Ste 35
Jacksonville, FL 32218
Phone (904) 714-9053

3101 University Blvd S
Ste 200207
Jacksonville, FL 32216
Phone (970) 760-4904

1680 Dunn Ave
Ste 3437
Jacksonville, FL 32218
Phone (904) 760-4964

1680 Dunn Ave
Ste 38
Jacksonville, FL 32218
Phone (904) 760-4905

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

Interoperability endpoints

  • Direct secure messaging: anna.tran.1@8967.direct.athenahealth.com
  • Direct secure messaging: anna.tran.1@12891.direct.athenahealth.com

Organizations & group practices 5

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1528492899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044717",
            "telephone_number": "904-308-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044717",
            "telephone_number": "904-308-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "deactivation_date": "2019-03-04",
        "reactivation_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.