Individual provider Active NPI

Peri M. Sert, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1699072256
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME107104 Issued in FL
Practice address
4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903
Phone
(904) 281-1915
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME107104 FL
Family Medicine Physician 207Q00000X ME107104 FL Primary

Addresses

Primary practice location

4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903

Mailing address

4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903
Phone (904) 281-1915

Other practice location 1

5915 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 861-1900

Other practice location 2

5915 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 861-1900

Other identifiers 1

IdentifierTypeStateIssuer
009639600MedicaidFL

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
I20160502000850 FL Practitioner - General Practice 6901105683 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107104FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hma/Solantic Joint Venture, LLC CurrentSince Mar 19, 2018 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Mar 19, 2018 Accepting new patients
Iah of Florida, LLC Family Medicine CurrentSince Feb 27, 2018 Accepting new patients
Rmed LLC Family Medicine CurrentSince Feb 27, 2018 Accepting new patients
Kashyap Patel MD PA Family Medicine CurrentSince Oct 16, 2023 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Family Medicine CurrentSince Mar 19, 2018 Accepting new patients
Rmed LLC Family Medicine CurrentSince Feb 27, 2018 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Mar 19, 2018 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 19, 2018 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients

Locations

512 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (321) 319-0212

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

5915 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

410 Atlantic Blvd
Neptune Beach, FL 32266
Phone (904) 223-2343

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

2323 S Orange Ave
Orlando, FL 32806
Phone (407) 418-9999

325 Clyde Morris Blvd
Ste 340
Ormond Beach, FL 32174
Phone (386) 212-3273

598 Sterthaus Dr
#C
Ormond Beach, FL 32174
Phone (386) 672-9683

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1611 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 580-4001

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699072256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160903",
            "telephone_number": "904-281-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160903",
            "telephone_number": "904-281-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 Normandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32205",
            "country_code": "US",
            "telephone_number": "904-861-1900",
            "fax_number": "904-388-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5915 Normandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32205",
            "country_code": "US",
            "telephone_number": "904-861-1900",
            "fax_number": "904-388-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERT",
        "first_name": "PERI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME107104",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009639600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.