Individual provider Active NPI

James M Porcelli, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1770511412
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME779513 Issued in FL
Practice address
1072 Arlington Rd N
Jacksonville, FL 32211-5811
Phone
(904) 931-9192
Fax
(877) 550-2141
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME779513 FL Primary

Addresses

Primary practice location

1072 Arlington Rd N
Jacksonville, FL 32211-5811

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

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
I20040423000770 FL Practitioner - Internal Medicine 4789670928 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME779513FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Medical of Florida, LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Sep 6, 2017 Accepting new patients
Vocatus Medical Management Services Internal Medicine Past Accepting new patients
Personalized Physician Care, LLC Internal Medicine PastSince Sep 1, 2015 Accepting new patients
Total Senior Health Care Mobile Physician Services LLC PastSince Jul 1, 2007 Accepting new patients

Locations

4520 E Bay Dr
Clearwater, FL 33764
Phone (727) 405-7188

1072 Arlington Rd N
Jacksonville, FL 32211
Phone (904) 931-9192

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

20 Blanding Blvd
Orange Park, FL 32073
Phone (904) 773-8977

543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1770511412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 ARLINGTON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115811",
            "telephone_number": "904-931-9192",
            "fax_number": "877-550-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCELLI",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME779513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.