Individual provider Active NPI

Youssef Mohammed Nejjar, M.D

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1689834459
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME109993 Issued in FL
Practice address
14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419
Phone
(904) 224-8090
Fax
(904) 391-5507
NPI assigned
Jun 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME109993 FL Primary

Addresses

Primary practice location

14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419

Mailing address

PO Box 746649
Atlanta, GA 30374-6649
Phone (904) 202-2092

Other identifiers 2

IdentifierTypeStateIssuer
P01050783OtherFLRR MEDICARE
003800000MedicaidFL

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
I20110811000446 FL Practitioner - Neurology 8921131673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Neurology IncGroup PAC ID 0345366704, 47 clinicians

Practice addresses (Care Compare)

14540 Old Saint Augustine Rd
Suite 2207
Jacksonville, FL 32258-7419
Phone (904) 224-8090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
75.65
Promoting interoperability
100
Improvement activities
40
Cost
80.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Neurology Inc Neurology CurrentSince Aug 1, 2011 Accepting new patients
Baptist Neurology Inc Neurology CurrentSince Aug 1, 2011 Accepting new patients
Baptist Neurology Inc Neurology Past Accepting new patients
Baptist Primary Care Inc Past Accepting new patients

Locations

14540 Old St Augustine Rd
Ste 2599
Jacksonville, FL 32258
Phone (904) 224-8090

14540 Old St Augustine Rd
Ste 2207
Jacksonville, FL 32258
Phone (904) 224-8090

841 Prudential Dr
Fl 10
Jacksonville, FL 32207
Phone (904) 398-5404

841 Prudential Dr
Ste 10
Jacksonville, FL 32207

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

Interoperability endpoints

  • Direct secure messaging: ynejjar28431@baptisthealthsystemjacksonville.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689834459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746649",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746649",
            "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": "14540 OLD SAINT AUGUSTINE RD STE 2207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587419",
            "telephone_number": "904-224-8090",
            "fax_number": "904-391-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEJJAR",
        "first_name": "YOUSSEF",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME109993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01050783",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003800000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.