Individual provider Active NPI

Jean Guy-Yoma Souffrant, MD

  • Pain Medicine Physician
  • West Melbourne, FL
National Provider Identifier
1669891040
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME149294 Issued in FL
Practice address
2795 W New Haven Ave
West Melbourne, FL 32904-3705
Phone
(321) 372-1765
Fax
(888) 464-0846
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X ME149294 FL Primary
Physical Medicine & Rehabilitation Physician 208100000X ME149294 FL

Addresses

Primary practice location

2795 W New Haven Ave
West Melbourne, FL 32904-3705

Mailing address

95 Bulldog Blvd Ste 202
Melbourne, FL 32901-3188
Phone (321) 725-7225

Other practice location 1

205 E Nasa Blvd Ste 200
Melbourne, FL 32901-1954
Phone (321) 723-9175

Other identifiers 1

IdentifierTypeStateIssuer
PY774OtherFLHF MA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsouffrant@direct.robinwoodortho.com

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
I20211109000483 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Hospitalist 2163731449 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Hospitalist, Pain Management
Education
University of Toledo College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

2795 W New Haven Ave
Melbourne, FL 32904-3705
Phone (321) 622-8626

629 Hummingbird Dr
Indialantic, FL 32903-4772

765 W Nasa Blvd
Melbourne, FL 32901-1815
Phone (440) 465-9363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical Group of Brevard LLC CurrentSince Oct 18, 2021 Accepting new patients
Care Spine and Sports Health PLLC Physical Medicine & Rehabilitation CurrentSince Feb 1, 2023 Accepting new patients
Souffrantmd Rehabmed Consultants PA Physical Medicine & Rehabilitation CurrentSince Aug 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

709 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 409-9990

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044

1344 S Apollo Blvd
Ste 300
Melbourne, FL 32901
Phone (321) 308-0659

2795 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 372-1765

2909 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 622-8626

Interoperability endpoints

  • Direct secure messaging: jguyyomasouffrant71457@epicdirect.hf.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGADD/Endpoint/DEGADD

Organizations & group practices 4

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 4

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1669891040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BULLDOG BLVD STE 202",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013188",
            "telephone_number": "321-725-7225",
            "fax_number": "321-308-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-372-1765",
            "fax_number": "888-464-0846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Nasa Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011954",
            "country_code": "US",
            "telephone_number": "321-723-9175",
            "fax_number": "321-723-9176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUFFRANT",
        "first_name": "JEAN",
        "middle_name": "GUY-YOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME149294",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME149294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HF MA",
            "identifier": "PY774",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsouffrant@direct.robinwoodortho.com",
            "affiliation": "N",
            "address_1": "11110 Medical Campus Rd Ste 205",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217426797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

Verify at the official NPI Registry.