Organization Active NPI

JMG Medical Associates LLC

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1629650841
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JMG MEDICAL ASSOCIATES LLC
Practice address
1600 37TH St
Vero Beach, FL 32960-4863
Phone
(845) 803-9267
Fax
(772) 202-7102
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Jennifer M Gerard, MDNPI 1437414489
Title
Organiser
Phone
(845) 803-9267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1600 37TH St
Vero Beach, FL 32960-4863

Mailing address

2160 58TH Ave # 240
Vero Beach, FL 32966-4647
Phone (845) 803-9267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210607002110 FL Part B Supplier - Clinic/Group Practice 1850791286 Receives reassigned benefits from 4 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

2160 58th Ave
Vero Beach, FL 32966
Phone (845) 803-9267

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1629650841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 58TH AVE # 240",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329664647",
            "telephone_number": "845-803-9267",
            "fax_number": "772-202-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604863",
            "telephone_number": "845-803-9267",
            "fax_number": "772-202-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMG MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ORGANISER",
        "authorized_official_telephone_number": "845-803-9267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.