Jonathan Michael Treece, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME113878 Issued in FL

Practice address

109 W Knapp Ave
Edgewater, FL 32132-1555

Phone

(386) 957-4100

Fax

(386) 957-4104

NPI assigned

Jun 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circle of Health Family Practice LLCGroup PAC ID 0840368981, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Circle of Health Family Practice LLC

  • Primary Care Clinic/Center
  • Palm Coast, FL
  • NPI 1417115528
  Medicare reassignment Care Compare group NPD
• Chiron Urgent Care LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Titusville, FL
  • NPI 1083953467
  NPD
• Coastal Esthetics, LLC

  • Adult Medicine Physician
  • Edgewater, FL
  • NPI 1114572245
  NPD

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1780978700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W KNAPP AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321555",
            "telephone_number": "386-957-4100",
            "fax_number": "386-957-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W KNAPP AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321555",
            "telephone_number": "386-957-4100",
            "fax_number": "386-957-4104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Florida Park Dr N Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321373893",
            "country_code": "US",
            "telephone_number": "386-447-1803",
            "fax_number": "386-447-1842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREECE",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE",
            "identifier": "TRN16248",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Daine Swindle, MEDWAIVER PROVIDER
• Agueda Mariel Taylor, MD
• Kimberly Taylor
• Vincent Thomas, LMT
• Alpheus Thompson III
• Philp M Tremblay, PT
• Jeffrey A True, M.D
• Jackson Brooks Turner, MD
• Tuscawilla Dental LLC
• Upperline Healthcare, PC

• Family Medicine Physician in Edgewater, FL
• Providers in Edgewater, 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 Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.