Individual provider Active NPI

Brandon Lynn Hill, MD

  • Adult Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1801155015
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
35.135544 Issued in OH
Practice address
2080 Child St
Jacksonville, FL 32214-5005
Phone
(904) 542-7762
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 35.135544 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2080 Child St
Jacksonville, FL 32214-5005

Mailing address

7385 Pineville Dr
Jacksonville, FL 32244-4747
Phone (734) 788-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190828002318 OH Practitioner - Family Practice 3678801693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Primary Care Physicians, LLCGroup PAC ID 5294992293, 45 clinicians

Practice addresses (Care Compare)

101 W Dave Longaberger Ave
Suite a
Dresden, OH 43821-9490
Phone (740) 565-4103

1210 Ashland Ave
Zanesville, OH 43701-2806
Phone (740) 454-0370

410 Main St
Suite a
Coshocton, OH 43812-1511
Phone (740) 722-9520

Hospital & facility affiliations

  • Genesis Home Care Home health agency, Zanesville, OH, CCN 367114
  • Interim Healthcare of Cambridge Home health agency, Zanesville, OH, CCN 367324
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Coshocton Regional Medical Center Hospital, Coshocton, OH, CCN 360109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Primary Care Physicians LLC CurrentSince Jul 1, 2021 Accepting new patients
Genesis Medical Group LLC Past Accepting new patients

Locations

410 Main St
Ste A
Coshocton, OH 43812
Phone (740) 722-9520

101 W Dave Longaberger Ave
Ste A
Dresden, OH 43821
Phone (740) 565-4103

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1801155015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 PINEVILLE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444747",
            "telephone_number": "734-788-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "BRANDON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "35.135544",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.