Active NPI
James L Gentry, MD
- Pediatrics Physician
- Jacksonville, FL
National Provider Identifier
1811941677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME66096
- Practice address
- 1760 Edgewood Ave W
Jacksonville, FL 32208-7209 - Phone
- (904) 301-4900
- Fax
- (904) 924-1773
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME66096 | FL | Primary |
Addresses
Primary practice location
1760 Edgewood Ave W
Jacksonville, FL 32208-7209
Mailing address
515 W 6TH St
MC #24
Jacksonville, FL 32206-4324
Phone (904) 665-2410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811941677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W 6TH ST",
"address_2": "MC #24",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064324",
"telephone_number": "904-665-2410",
"fax_number": "904-630-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 EDGEWOOD AVE W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322087209",
"telephone_number": "904-301-4900",
"fax_number": "904-924-1773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME66096",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.