Individual provider Active NPI

James J Meeks, D.O

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1740608983
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS14792 Issued in FL
Practice address
820 Prudential Dr Ste 510
Jacksonville, FL 32207
Phone
(904) 376-3800
Fax
(904) 376-3998
NPI assigned
Apr 4, 2014
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OT016565 PA
Psychiatry Physician 2084P0800X OS14792 FL Primary

Addresses

Primary practice location

820 Prudential Dr Ste 510
Jacksonville, FL 32207

Mailing address

PO Box 44230
Jacksonville, FL 32231-4230
Phone (904) 376-3800

Other practice location 1

1660 Prudential Dr Ste 410
Jacksonville, FL 32207-8197
Phone (904) 376-3800

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
I20180525001804 FL Practitioner - Psychiatry 5496064594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TBJ Behavioral Center LLCGroup PAC ID 4981789823, 15 clinicians

Practice addresses (Care Compare)

1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878

6300 Beach Blvd
Jacksonville, FL 32216-2708
Phone (904) 724-9202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14792FLMDPsychiatry Physician
OT016565PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Feb 15, 2024 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Mar 31, 2021 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Feb 15, 2024 Accepting new patients
Southern Baptist Hospital of Florida Inc Past Accepting new patients

Locations

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

1100 Plantation Island Dr S
Ste 110
Saint Augustine, FL 32080
Phone (904) 217-4259

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

Interoperability endpoints

  • Direct secure messaging: jmeeks1475509@nychhc.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.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1740608983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44230",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314230",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 510",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Prudential Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078197",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT016565",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS14792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.