First Coast Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 9368 Issued in FL

Legal business name

FIRST COAST FAMILY MEDICINE PA

Practice address

9130 RG Skinner Parkway
Jacksonville, FL 32256

Phone

(904) 538-0950

Fax

(904) 538-0952

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terry D Hashey, DONPI 1003899303

Title

Owner

Phone

(904) 538-0950

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Dale Hashey, D.O.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1003899303
  Medicare reassignment Care Compare group NPD Authorized official
• Harry Madhanagopal, D.O.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1740568278
  Medicare reassignment Care Compare group NPD
• Caitlin Marie Lonergan

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1780497784
  Medicare reassignment Care Compare group
• Diana Catherine Maccario, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1205007036
  Medicare reassignment Care Compare group
• Tammy Pruitt Martinez, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1619944154
  Medicare reassignment Care Compare group
• Carlie Alexandra Grigg

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1891209870
  Medicare reassignment
• Lindsey K Harrison, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1295449767
  Medicare reassignment
• Simona Zenata Sipos, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1235762113
  Medicare reassignment

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1558457341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 RG SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-538-0950",
            "fax_number": "904-538-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 RG SKINNER PARKWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-538-0950",
            "fax_number": "904-538-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "HASHEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-538-0950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 9368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AC476",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Server",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9191 RG Skinner Parkway Ste 603",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• First Coast Dental Center, PLLC
• First Coast Dermatology P a
• First Coast Diabetes Institute, LLC
• First Coast Eye Associates, PA
• First Coast Eyewear Inc
• First Coast Foot & Ankle Clinic Inc
• First Coast FS, LLC
• First Coast Health Ventures, LLC (River City Rehab Center)
• First Coast Heart & Vascular Center, PA
• First Coast Hospitalist P L

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, 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 Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.