Active NPI
Justin D Mann, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME128030
- Practice address
- 15255 Max Leggett Pkwy Ste 5500
Jacksonville, FL 32218-7273 - Phone
- (904) 223-3321
- NPI assigned
- Apr 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P26496 | MD | |
| Anesthesiology Physician | 207L00000X | MD.32030 | AL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME128030 | FL | Primary |
Addresses
Primary practice location
15255 Max Leggett Pkwy Ste 5500
Jacksonville, FL 32218-7273
Mailing address
5191 First Coast Tech Pkwy
3Rd Floor
Jacksonville, FL 32224-0609
Phone (904) 223-3321
Other practice location 1
5191 First Coast Tech Pkwy
3rd Floor
Jacksonville, FL 32224-0609
Phone (904) 223-3321
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Mercer University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5191 1St Coast Tech Pkwy
FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321
Hospital & facility affiliations
- Shands Jacksonville
- Baptist Health Medical Center - Jacksonville
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 70.19
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.32030 | AL | MD | Anesthesiology Physician |
| P26496 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Spine Center PA | Interventional Pain Medicine | Current | Accepting new patients |
| Jacksonville Spine Center PA | Interventional Pain Medicine | Current | Accepting new patients |
| Georgia Spine & Pain Centers | Interventional Pain Medicine | Past | Accepting new patients |
Locations
2349 Village Square Pkwy
Ste 107
Fleming Island, FL 32003
Phone (904) 257-0060
2550 Park St
Ste B
Jacksonville, FL 32204
Phone (904) 280-6701
765 Mill Creek Rd
Jacksonville, FL 32211
Phone (904) 724-6321
5191 First Coast Tech Pkwy
Jacksonville, FL 32224
Phone (904) 427-7399
5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332
10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118
15255 Max Leggett Pkwy
Ste 5500
Jacksonville, FL 32218
1351 13th Ave S
Ste 120
Jax Bch, FL 32250
Phone (904) 257-4020
1100 Plantation Island Dr S
Ste 220
Saint Augustine, FL 32080
Phone (904) 436-6420
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- justin.mann@jspc.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
- NPI 1881643757
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Altamonte Springs, FL
- NPI 1861197071
-
- Interventional Pain Medicine Physician
- Waycross, GA
- NPI 1134769714
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1790075703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5191 FIRST COAST TECH PKWY",
"address_2": "3RD FLOOR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240609",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15255 MAX LEGGETT PKWY STE 5500",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322187273",
"telephone_number": "904-223-3321"
}
],
"practiceLocations": [
{
"address_1": "5191 First Coast Tech Pkwy",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322240609",
"country_code": "US",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "JUSTIN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2022-09-28",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "P26496",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "MD.32030",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME128030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 28, 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.