Felicia Ann Jerome, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7594 Issued in FL

Practice address

1955 US 1 S Ste 200
St Augustine, FL 32086-5786

Phone

(904) 494-2840

Fax

(904) 829-6174

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: felicia.jerome@cchs.gadirect.net

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.

• Coastal Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brunswick, GA
  • NPI 1609298751
  NPD
• Oceanway Medical Center, Inc.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1245255199
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1538124706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 US 1 S STE 200",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865786",
            "telephone_number": "904-494-2840",
            "fax_number": "904-829-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 US 1 S STE 200",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865786",
            "telephone_number": "904-494-2840",
            "fax_number": "904-829-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "FELICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Jennison, RD LDN
• Jeremiah D Gordon, DMD, PA
• Jeremy Caudill DO
• Audrey Lee Jernigan, LMT
• George Alton Jernigan III
• Nathan Jimmerson, PTA
• Natasha Jno Baptiste
• Joanne F. Reed, OD, PLLC
• John R Jones Jr LMHC PA
• John S. Koppman MD PL

• Family Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.

Verify at the official NPI Registry.