Individual provider Active NPI

Jameson Henry, MD

  • Internal Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1659669901
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME120866 Issued in FL
Practice address
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone
(386) 254-4000
Fax
(386) 226-4577
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT200415 PA
Internal Medicine Physician 207R00000X ME120866 FL Primary

Addresses

Primary practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Mailing address

PO Box 864074
Orlando, FL 32886-4074
Phone (386) 226-4590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141013000331 FL Practitioner - Internal Medicine 8325279508 Reassigns benefits to 1 organization
I20161227001108 CA Practitioner - Internal Medicine 8325279508 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT200415PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Nov 15, 2016 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Sep 9, 2018 Accepting new patients
County of San Diego CurrentSince Feb 2, 2022 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
County of San Diego Current Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jul 1, 2017 Accepting new patients
County of San Diego CurrentSince Feb 2, 2022 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 15, 2017 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Sep 4, 2014 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2023 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Nov 15, 2016 Accepting new patients

Locations (25 of 26)

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

1400 E Palomar St
Chula Vista, CA 91913
Phone (619) 397-3077

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jhenry362670@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1659669901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864074",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864074",
            "telephone_number": "386-226-4590",
            "fax_number": "386-226-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-254-4000",
            "fax_number": "386-226-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JAMESON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT200415",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.