Individual provider Active NPI

Jerry J Cattelane Jr., DO

  • Family Medicine Physician
  • Lake City, FL
National Provider Identifier
1750351763
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10161 Issued in FL
Practice address
557 SW Hunter Rd
Lake City, FL 32024-3516
Phone
(561) 846-2013
Fax
(561) 532-1027
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10161 FL Primary
Emergency Medicine Physician 207P00000X 4881562 NY
Emergency Medicine Physician 207P00000X U2453 TX

Addresses

Primary practice location

557 SW Hunter Rd
Lake City, FL 32024-3516

Mailing address

557 SW Hunter Rd
Lake City, FL 32024-3516
Phone (561) 846-2013

Other practice location 1

1801 NE 123rd St Ste 314
North Miami, FL 33181-2883
Phone (561) 846-2013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080305000271 FL Practitioner - Emergency Medicine 5597710392 Reassigns benefits to 2 organizations
I20220916002089 GA Practitioner - Emergency Medicine 5597710392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4881562NYMDEmergency Medicine Physician
U2453TXMDEmergency Medicine Physician
OS10161FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Health Remote Care LLC Emergency Medicine CurrentSince Feb 12, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
North Country Emergency Medical Consultants,PC Emergency Medicine Past Accepting new patients
Sailfish ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Coastal Care Corporation Past Accepting new patients
Turtle Run Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Martin Memorial Physician Corporation Inc Past Accepting new patients
Best Care Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Quest Health Solutions, LLC PastSince Feb 12, 2025 Accepting new patients

Locations

7351 Wiles Rd
Ste 104
Coral Springs, FL 33067
Phone (754) 778-7147

3301 N University Dr
Ste 310
Coral Springs, FL 33065
Phone (754) 778-7147

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1750351763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 SW HUNTER RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243516",
            "telephone_number": "561-846-2013",
            "fax_number": "561-532-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 SW HUNTER RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243516",
            "telephone_number": "561-846-2013",
            "fax_number": "561-532-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NE 123rd St Ste 314",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812883",
            "country_code": "US",
            "telephone_number": "561-846-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATTELANE",
        "first_name": "JERRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10161",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "4881562",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U2453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.