NPIMap

Individual provider Active NPI

William Webster

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1669239752
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4205 Belfort Rd Ste 1100
Jacksonville, FL 32216-5876
Phone
(904) 296-3103
NPI assigned
Mar 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4205 Belfort Rd Ste 1100
Jacksonville, FL 32216-5876

Mailing address

4205 Belfort Rd Ste 1100
Jacksonville, FL 32216-5876
Phone (904) 296-3103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004786 FL Practitioner - Physician Assistant 0941735567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Institute of Pain Medicine LLCGroup PAC ID 4385769686, 38 clinicians
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

105 Whitehall Dr
St Augustine, FL 32086-5269
Phone (904) 800-7246

1390 Boone Ave Ext
Suite A23
Kingsland, GA 31548-6515
Phone (419) 221-3717

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

4205 Belfort Rd
Jacksonville, FL 32216-5876

Hospital & facility affiliations

  • Ascension Health at Home of Florida 1 LLC Home health agency, Jacksonville, FL, CCN 683147
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Institute of Pain Medicine LLC CurrentSince Apr 1, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Dec 1, 2024 Accepting new patients
Florida Institute of Pain Medicine LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

4205 Belfort Rd
Ste 1100
Jacksonville, FL 32216
Phone (904) 296-3103

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161

105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246

Interoperability endpoints

  • Direct secure messaging: william.webster.1@8967.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 9

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1669239752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 1100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165876",
            "telephone_number": "904-296-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 1100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165876",
            "telephone_number": "904-296-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.