Organization Active NPI

Virtualmd 360, P.a.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1720601008
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRTUALMD 360, P.A.
Practice address
301 W Bay St Ste 14141
Jacksonville, FL 32202-5184
Phone
(800) 528-7045
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Lasongia Morton, MDNPI 1376579573
Title
President
Phone
(404) 396-6033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

301 W Bay St Ste 14141
Jacksonville, FL 32202-5184

Mailing address

301 W Bay St Ste 14141
Jacksonville, FL 32202-5184
Phone (800) 528-7045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1720601008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BAY ST STE 14141",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322025184",
            "telephone_number": "800-528-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BAY ST STE 14141",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322025184",
            "telephone_number": "800-528-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUALMD 360, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-09-06",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "LASONGIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-396-6033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.