Active NPI
Shima Sedighi, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- ME122530
- Practice address
- 655 W 8TH St
Jacksonville, FL 32209 - Phone
- (904) 244-4046
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME122530 | FL | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | ME122530 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
Jacksonville, FL 32209
Mailing address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-4046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Emergency Group, LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Pediatrics | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
Interoperability endpoints
- ssedighi181191@direct.shands.ufl.edu
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Pediatrics
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Pediatrics
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1598126641
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1265693279
-
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1962662239
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1689934663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209",
"telephone_number": "904-244-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDIGHI",
"first_name": "SHIMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME122530",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME122530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.