Clay Primary & Family Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLAY PRIMARY & FAMILY CARE LLC

Practice address

865 Blanding Blvd
Orange Park, FL 32065-8917

Phone

(904) 276-1133

Fax

(904) 276-1821

NPI assigned

Jul 6, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Massoud Moshiree, M.D.NPI 1598762650

Title

President/Owner

Phone

(904) 276-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Massoud Moshiree, M.D.

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1598762650
  Medicare reassignment Care Compare group NPD Authorized official
• Monica Freeman, FNP-C

  • Nurse Practitioner
  • Orange Park, FL
  • NPI 1093266470
  Medicare reassignment Care Compare group NPD
• Christelle Takou Oben, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1821341801
  Medicare reassignment Care Compare group NPD
• Maria Mahmoodi, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1306892146
  Medicare reassignment Care Compare group
• Abdul A Qazizada, M.D.

  • Family Medicine Physician
  • Fleming Island, FL
  • NPI 1124044672
  Medicare reassignment Care Compare group
• Ali Reza Afshar, M.D.

  • Family Medicine Physician
  • Fleming Island, FL
  • NPI 1083901177
  Medicare reassignment NPD
• Jessie Cirolia, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Mary, FL
  • NPI 1548503105
  Medicare reassignment NPD
• Jessica Lynn Kalarovich

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1225526239

  Family Medicine

  Medicare reassignment NPD
• David Koutz, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1891176384
  Medicare reassignment NPD
• Kimberly C Stephens, MSN APRN FNP-BC

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1902391139
  Medicare reassignment NPD
• Marissa Manansala Aranzaso, ARNP

  • Family Nurse Practitioner
  • Salinas, CA
  • NPI 1730684655

  FL

  Medicare reassignment NPD
• Sarah L Wheeler, APRN

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1619306156

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730186792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658917",
            "telephone_number": "904-276-1133",
            "fax_number": "904-276-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658917",
            "telephone_number": "904-276-1133",
            "fax_number": "904-276-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY PRIMARY & FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOSHIREE",
        "authorized_official_first_name": "MASSOUD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-276-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255561100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clay Chiropractic and Rehabilitation
• Clay County Medical Investors, LLC (Life Care Center of Orange Park)
• Clay Internal Medicine PA
• Clay Pain Center Physicians LLC
• Clay Physical Therapy PA
• Clay Pulmonary Services PA
• Clay Surgery Center LLP
• Clear Ear Hearing of Northeast Florida, LLC. (Clear Ear Hearing Systems)
• James Cleridor, COTA/L
• Cheyanne L Cloud I

• Family Medicine Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.