Organization Active NPI

Patient Focus Physicians Associates Inc

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1801407291
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PATIENT FOCUS PHYSICIANS ASSOCIATES INC
Practice address
101 Century 21 Dr
Jacksonville, FL 32216-8115
Phone
(904) 821-7372
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Gabriel Ademiloye
Title
Managing Director
Phone
(904) 821-7372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

101 Century 21 Dr
Jacksonville, FL 32216-8115

Mailing address

101 Century 21 Dr
Jacksonville, FL 32216-8115
Phone (904) 821-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200925000781 FL Part B Supplier - Clinic/Group Practice 1557780426 Receives reassigned benefits from 8 practitioners
Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2266672Patient Focus Physicians Associates Inc101 Century 21 Dr #206, Jacksonville, FL 32216Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Locations

101 Century 21 Dr
Ste 206
Jacksonville, FL 32216
Phone (904) 374-0594

101 Century 21 Dr
Jacksonville, FL 32216
Phone (904) 374-0594

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1801407291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CENTURY 21 DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168115",
            "telephone_number": "904-821-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTURY 21 DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168115",
            "telephone_number": "904-821-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FOCUS PHYSICIANS ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "ADEMILOYE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "904-821-7372"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.