Individual provider Active NPI

Jaymeson Scott Stroud, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1619094513
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME152311 Issued in FL
Practice address
10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone
(904) 880-5522
Fax
(904) 880-5533
NPI assigned
Mar 23, 2007
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036140165 IL
Radiation Oncology Physician 2085R0001X 2008006963 MO
Radiation Oncology Physician 2085R0001X ME152311 FL Primary

Addresses

Primary practice location

10881 San Jose Blvd
Jacksonville, FL 32223-6612

Mailing address

10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone (904) 880-5522

Other practice location 1

1340 S 18th St Ste 103
Fernandina Beach, FL 32034-4733
Phone (904) 277-2700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210916001040 FL Practitioner - Radiation Oncology 3274608930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ackerman Cancer Center PAGroup PAC ID 3779541362, 10 clinicians

Practice addresses (Care Compare)

10881 San Jose Blvd
Jacksonville, FL 32223-6612
Phone (904) 260-3022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.96 of 100Reported as group
Improvement activities
40
Cost
99.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152311FLMDRadiation Oncology Physician
036140165ILMDRadiation Oncology Physician
2008006963MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerman Cancer Center, PA Radiation Oncology CurrentSince Sep 1, 2021 Accepting new patients
Ackerman Cancer Center, PA Radiation Oncology CurrentSince Sep 1, 2021 Accepting new patients
Ackerman Cancer Center, P.a. Radiation Oncology Past Accepting new patients
Mercy Hospitals East Communities PastSince Aug 1, 2008 Accepting new patients
Ackerman Cancer Center, PA Radiation Oncology Past Accepting new patients

Locations

1340 S 18th St
Ste 103
Fernandina Beach, FL 32034
Phone (904) 277-2700

10881 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 260-3022

2 Shircliff Way
Jacksonville, FL 32204
Phone (904) 308-7411

533 W Twincourt Trl
Ste 701
St Augustine, FL 32095
Phone (904) 399-0667

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1619094513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236612",
            "telephone_number": "904-880-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10881 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236612",
            "telephone_number": "904-880-5522",
            "fax_number": "904-880-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 S 18th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344733",
            "country_code": "US",
            "telephone_number": "904-277-2700",
            "fax_number": "904-277-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUD",
        "first_name": "JAYMESON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036140165",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2008006963",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME152311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.