Jacksonville Internal Medicine and Wellness, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC

Practice address

1323 Hamric Dr E Ste a
Oxford, AL 36203-1917

Phone

(256) 365-2416

Fax

(256) 365-2426

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo J Villeda, MDNPI 1023274297

Title

Owner

Phone

(917) 684-7325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Javier Villeda, M.D.

  • Internal Medicine Physician
  • Oxford, AL
  • NPI 1023274297
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1679011969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 HAMRIC DR E STE A",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031917",
            "telephone_number": "256-365-2416",
            "fax_number": "256-365-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 HAMRIC DR E STE A",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031917",
            "telephone_number": "256-365-2416",
            "fax_number": "256-365-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "VILLEDA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-684-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• House, LLC
• Kim Howell
• Paige Matheson Hughes, CRNP
• Paula M. Hunt, NURSE PRACTITIONER
• Leberta Jackson, RN, CERTIFIED TRICHO
• Stacey Smith Johnson, RD,LD
• Sureka Johnson, LMT
• William James Calvin Jones, OD
• Zackary Alan Jones, D.M.D.
• Journey of You Counseling LLC

• Internal Medicine Physician in Oxford, AL
• Providers in Oxford, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.