NPIMap

Organization Active NPI

All About Kids and Family Medical Center Inc

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1750476065
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME85143 Issued in FL
Legal business name
ALL ABOUT KIDS AND FAMILY MEDICAL CENTER INC
Practice address
12086 Fort Caroline Rd
Suite 401
Jacksonville, FL 32225-2687
Phone
(904) 565-1271
Fax
(904) 645-7325
NPI assigned
Oct 3, 2006
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
James A Joyner IV, M.D.
Title
President/Owner
Phone
(904) 382-1090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME85143 FL Primary
General Practice Physician 208D00000X ME85143 FL

Addresses

Primary practice location

12086 Fort Caroline Rd
Suite 401
Jacksonville, FL 32225-2687

Mailing address

PO Box 3123
St Augustine, FL 32085-3123
Phone (904) 565-1271

Other identifiers 2

IdentifierTypeStateIssuer
277726600MedicaidFL
00956OtherFLBCBS GROUP NUMBER

Other names 1

  • All About Kids Pediatric Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

12086 Fort Caroline Rd
Ste 401
Jacksonville, FL 32225
Phone (904) 456-9240

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1750476065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-565-1271",
            "fax_number": "904-645-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252687",
            "telephone_number": "904-565-1271",
            "fax_number": "904-645-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT KIDS AND FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-382-1090",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME85143",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME85143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277726600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "00956",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Kids Pediatric Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 21, 2014; 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.