NPIMap

Individual provider Active NPI

William Herman Sessions, M.D.

  • Family Medicine Physician
  • Fleming Island, FL
National Provider Identifier
1669471033
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0034771 Issued in FL
Practice address
4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822
Phone
(904) 269-4559
Fax
(904) 269-4597
NPI assigned
Jul 19, 2005
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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 ME0034771 FL Primary

Addresses

Primary practice location

4565 US Highway 17 Ste 106
Fleming Island, FL 32003-4822

Mailing address

6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 744-7300

Other identifiers 3

IdentifierTypeStateIssuer
10957OtherFLBLUE CROSS BLUE SHIELD
P00677718OtherFLRAILROAD MEDICARE
ME0034771OtherFLFL LICENSE

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
I20090109000210 FL Practitioner - Geriatric MedicinePractitioner - Family Practice 1052474541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Medical College of Georgia School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1543 Kingsley Ave
Suite 1
Orange Park, FL 32073-4535
Phone (904) 592-1320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0034771FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Herman Sessions MD PA CurrentSince Nov 1, 2024 Accepting new patients

Locations

1543 Kingsley Ave
#1
Orange Park, FL 32073
Phone (904) 592-1320

1543 Kingsley Ave
Ste 1
Orange Park, FL 32073
Phone (904) 278-3383

Interoperability endpoints

  • Direct secure messaging: williamhsessions.williamhsessions@160031.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1669471033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772044",
            "telephone_number": "904-744-7300",
            "fax_number": "904-722-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 US HIGHWAY 17 STE 106",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034822",
            "telephone_number": "904-269-4559",
            "fax_number": "904-269-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSIONS",
        "first_name": "WILLIAM",
        "middle_name": "HERMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0034771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10957",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00677718",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME0034771",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.