NPIMap

Individual provider Active NPI

Michael Anthony Stephens, MD

  • Family Medicine Physician
  • Orange Park, FL
National Provider Identifier
1801888607
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME64230 Issued in FL
Practice address
1008 Park Ave Ste a
Orange Park, FL 32073-4112
Phone
(904) 202-2092
Fax
(904) 376-4075
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME64230 FL Primary

Addresses

Primary practice location

1008 Park Ave Ste a
Orange Park, FL 32073-4112

Mailing address

1701 Park Ave
Orange Park, FL 32073-4946
Phone (904) 510-2382

Other identifiers 1

IdentifierTypeStateIssuer
P00469531OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000182 FL Practitioner - Family Practice 6204816606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

1008 Park Ave
Suite a
Orange Park, FL 32073-4112
Phone (904) 264-9293

1701 Park Ave
Orange Park, FL 32073-4946
Phone (904) 510-2382

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions15
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME64230FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Baptist Primary Care Inc Family Medicine Current Accepting new patients
Michael a. Stephens MD PA Family Medicine CurrentSince Feb 1, 2006 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

4495 Roosevelt Blvd
Ste 316
Jacksonville, FL 32210
Phone (904) 384-5222

1008 Park Ave
Ste A
Orange Park, FL 32073
Phone (904) 264-9293

1701 Park Ave
Orange Park, FL 32073
Phone (904) 278-1200

440 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-9293

Interoperability endpoints

  • Direct secure messaging: mstephens28187@baptisthealthsystemjacksonville.direct-ci.com
  • Direct secure messaging: michael.stephens.1@33716.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Moosehaven IncOrange Park, FL, CCN 106077 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 1994
Dec 1, 1994

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1801888607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734946",
            "telephone_number": "904-510-2382",
            "fax_number": "904-407-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PARK AVE STE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734112",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME64230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00469531",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.