Individual provider Active NPI

Katherine D Townsel, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1669033775
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME152541 Issued in FL
Practice address
524 Skymarks Dr Ste 1
Jacksonville, FL 32218-7254
Phone
(904) 696-7333
Fax
(904) 390-7441
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME152541 FL Primary

Addresses

Primary practice location

524 Skymarks Dr Ste 1
Jacksonville, FL 32218-7254

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

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
I20220809000427 FL Practitioner - Family Practice 4880022615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

524 Skymarks Dr
Suite 1
Jacksonville, FL 32218-7254
Phone (904) 696-7333

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152541FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine Current Accepting new patients
Baptist Primary Care Inc. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 1, 2022 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 1, 2022 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Nov 1, 2024 Accepting new patients

Locations

524 Skymarks Dr
Ste 1
Jacksonville, FL 32218
Phone (904) 696-7333

2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372

4205 Belfort Rd
Ste 3075
Jacksonville, FL 32216
Phone (904) 296-5785

4205 Belfort Rd
Ste 30075
Jacksonville, FL 32216

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

Interoperability endpoints

  • Direct secure messaging: ktownsel241997@baptisthealthsystemjacksonville.direct-ci.com
  • Direct secure messaging: katherine.moore.2@8967.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1669033775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SKYMARKS DR STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187254",
            "telephone_number": "904-696-7333",
            "fax_number": "904-390-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEL",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME152541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.