Nephrology Consultants of Jacksonville LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC

Practice address

3129 Hendricks Ave
Jacksonville, FL 32207-4217

Phone

(904) 398-8266

Fax

(904) 396-4803

NPI assigned

Jun 28, 2018

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Nashville, TN
  • NPI 1871526350

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Jeremy Carlson

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1932562832
  Medicare reassignment NPD
• Latoya Michaele Roberson, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1093563850
  NPD (past)

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1578058939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST STE 500, PHYSICIAN PRACTICE DIVISION",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032948",
            "telephone_number": "615-327-3061",
            "fax_number": "615-329-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074217",
            "telephone_number": "904-398-8266",
            "fax_number": "904-396-4803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7307 N Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322084123",
            "country_code": "US",
            "telephone_number": "904-924-0760",
            "fax_number": "904-942-0765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10337 San Jose Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578223",
            "country_code": "US",
            "telephone_number": "904-619-4842",
            "fax_number": "904-619-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS OF JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marinela M. Nemetz, D.D.S.
• Robert Joseph Nemetz, DDS
• Meskerem Nemomsa, MD
• Nemours Children's Health, Jacksonville South, Specialty Care
• Nemours Children's Health, Jacksonville, Specialty Care
• Nephrology Consultants of Jacksonville LLC
• Nephrology Consultants of Jax LLC
• Nephrology Group of Northeast
• Neptune Beach Surgical Specialists LLC
• Neptune Beach Surgical Specialists LLC

• Nephrology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.