Individual provider Active NPI

Jennifer L Madden, MD

  • Orthopaedic Hand Surgery Physician
  • St Augustine, FL
National Provider Identifier
1619995388
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
ME99389 Issued in FL
Practice address
45 Groover Loop Ste 201
St Augustine, FL 32086-6586
Phone
(904) 634-0640
Fax
(904) 634-0203
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME99389 FL
Orthopaedic Trauma Physician 207XX0801X ME99389 FL
Surgery of the Hand (Surgery) Physician 2086S0105X ME99389 FL
Orthopaedic Hand Surgery Physician 207XS0106X ME99389 FL Primary

Addresses

Primary practice location

45 Groover Loop Ste 201
St Augustine, FL 32086-6586

Mailing address

6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203
Phone (904) 634-0640

Other practice location 1

4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 32223-8800
Phone (904) 634-0640

Other practice location 2

3055 County Road 210 W Ste 110
St Johns, FL 32259-7001
Phone (904) 634-0640

Other practice location 3

2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762
Phone (904) 634-0640

Other practice location 4

2110 Herschel St
Jacksonville, FL 32204-3820
Phone (904) 634-0640

Other practice location 5

15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 32218-7274
Phone (904) 634-0640

Other practice location 6

10475 Centurion Pkwy N Ste 220
Jacksonville, FL 32256-5004
Phone (904) 634-0640

Other practice location 7

4565 US Highway 17 Ste 200
Fleming Island, FL 32003-4823
Phone (904) 634-0640

Other practice location 8

1690 US Highway 1 S Ste F
St Augustine, FL 32084-6024
Phone (904) 634-0640

Other practice location 9

2300 Park Ave Ste 206
Orange Park, FL 32073-5573
Phone (904) 634-0640

Other practice location 10

232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Phone (904) 634-0640

Other practice location 11

2627 Riverside Ave Ste 300
Jacksonville, FL 32204-4717
Phone (904) 634-0640

Other identifiers 3

IdentifierTypeStateIssuer
024284600MedicaidFL
279103000MedicaidFL
P00433235OtherFLRR MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joireferrals@joi.medalliesdirect.net Direct
Direct Messaging Address joireferrals@joi.medalliesdirect.net Direct

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
I20070920000551 FL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 9739112657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

45 Groover Loop
St Augustine, FL 32086-6586
Phone (904) 634-0640

8449 SW Hwy 200
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Mar 1, 2025 Accepting new patients
Center for Orthopedic Research and Education, LLC Orthopaedic Surgery Past Accepting new patients

Locations

4565 US Highway 17
Ste 200
Fleming Island, FL 32003
Phone (904) 630-0640

4268 Oldfield Crossing Dr
Ste 201
Jacksonville, FL 32223
Phone (904) 630-0640

10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014

15255 Max Leggett Pkwy
Ste 5300
Jacksonville, FL 32218
Phone (904) 203-1386

2627 Riverside Ave
Ste 300
Jacksonville, FL 32204
Phone (904) 634-0460

2110 Herschel St
Jacksonville, FL 32204
Phone 9043560835231

6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216

2 Shircliff Way
Ste 605
Jacksonville, FL 32204
Phone (904) 328-5979

14534 Old St Augustine Rd
Ste 3210
Jacksonville, FL 32258
Phone (904) 880-1260

2300 Park Ave
Ste 206
Orange Park, FL 32073
Phone (904) 278-4274

232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082
Phone (904) 285-7546

216 Southpark Cir E
Ste 216
St Augustine, FL 32086
Phone (904) 634-0203

45 Groover Loop
Unit 201
St Augustine, FL 32086
Phone (904) 634-0604

45 Groover Loop
St Augustine, FL 32086
Phone (904) 648-8660

216 Southpark Cir E
St Augustine, FL 32086
Phone (904) 824-6108

1690 US Highway 1 S
Ste F
St Augustine Beach, FL 32084
Phone (904) 634-0460

3055 County Road 210 W
Ste 110
St Johns, FL 32259
Phone (904) 825-0540

Interoperability endpoints

  • Direct secure messaging: jmadden768541@direct.shands.ufl.edu
  • Direct secure messaging: jennifer.madden.1@22724.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1619995388",
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            "city": "JACKSONVILLE",
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            "fax_number": "904-634-0203",
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            "country_code": "US",
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            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15255 Max Legget Pkwy Ste 5300",
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            "state": "FL",
            "postal_code": "322187274",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Centurion Pkwy N Ste 220",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565004",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4565 US Highway 17 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034823",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1690 US Highway 1 S Ste F",
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            "postal_code": "320846024",
            "country_code": "US",
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            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Park Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735573",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Ponte Vedra Park Dr",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
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            "postal_code": "320826600",
            "country_code": "US",
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            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 Riverside Ave Ste 300",
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            "state": "FL",
            "postal_code": "322044717",
            "country_code": "US",
            "telephone_number": "904-634-0640",
            "fax_number": "904-634-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME99389",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME99389",
            "primary": false
        },
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            "taxonomy_group": "",
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            "state": "FL",
            "license": "ME99389",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
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            "state": "FL",
            "license": "ME99389",
            "primary": true
        }
    ],
    "identifiers": [
        {
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024284600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279103000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00433235",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joireferrals@joi.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "Jacksonville Orthopaedic Institute",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "14540 Old Saint Augustine Rd",
            "address_2": "SUITE 2201",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joireferrals@joi.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "Jacksonville Orthopaedic Institute",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "14534 Old Saint Augustine Rd Ste 3210",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322582645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.