Terrell Bacchus, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME136868 Issued in FL

Practice address

9422 Arlington Expy
Jacksonville, FL 32225-8231

Phone

(904) 559-1844

NPI assigned

Jul 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Nashua, NH
  • NPI 1851082291
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1952092397
  NPD
• PMR Georgia Holding, LLC

  dba Jencare Neighborhood Medical Center

  • Specialist
  • Miami Gardens, FL
  • NPI 1609329630
  NPD (past)
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Merrimack, NH
  • NPI 1124719562
  NPD (past)
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Londonderry, NH
  • NPI 1376142380
  NPD (past)
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1427729516
  NPD (past)
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Windham, NH
  • NPI 1528330180
  NPD (past)
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Bedford, NH
  • NPI 1629477021
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1609189901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325572",
            "telephone_number": "404-836-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258231",
            "telephone_number": "904-559-1844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112607",
            "country_code": "US",
            "telephone_number": "207-424-2222",
            "fax_number": "207-424-2268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "MA",
            "postal_code": "020193007",
            "country_code": "US",
            "telephone_number": "774-295-4355",
            "fax_number": "774-295-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dobson Way",
            "address_purpose": "LOCATION",
            "city": "Merrimack",
            "state": "NH",
            "postal_code": "030544340",
            "country_code": "US",
            "telephone_number": "603-471-6069",
            "fax_number": "603-471-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "TERRELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "70039",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "24746",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME136868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Anne Babcock, DMD
• Hani M Babiker, MD
• Isabelle Carter Babson, OTD, OTR
• Babur H Bhatti MD PA
• Baby Steps Florida, LLC
• Christina P Bach, APRN
• Rosemarie E Bacher
• Amarilys Bachiller
• Kerry Mark Bachista, M.D.
• Roderick Allan Bacho, PH.D.

• 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 Nov 21, 2023; 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.