Individual provider Active NPI

James Downey, MD

  • Pediatrics Physician
  • Fleming Island, FL
National Provider Identifier
1821438037
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME129225 Issued in FL
Practice address
1851 Golden Eagle Way Ste 36
Fleming Island, FL 32003-4334
Phone
(904) 375-9724
Fax
(904) 644-7054
NPI assigned
Jul 2, 2013
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME129225 FL Primary

Addresses

Primary practice location

1851 Golden Eagle Way Ste 36
Fleming Island, FL 32003-4334

Mailing address

1851 Golden Eagle Way Ste 36
Fleming Island, FL 32003-4334
Phone (904) 568-4061

Other identifiers 1

IdentifierTypeStateIssuer
020332400MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115002738 FL Practitioner - Pediatric Medicine 7113223546 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129225FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Downey, MD, PA Pediatrics CurrentSince Mar 16, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 18, 2016 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 18, 2016 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1658 St Vincents Way
Ste 320
Middleburg, FL 32068
Phone (904) 354-8200

1075 Oakleaf Plantation Pkwy
Ste 108
Orange Park, FL 32065
Phone (904) 264-9555

1851 Golden Eagle Way
Ste 36
Orange Park, FL 32003
Phone (904) 215-7800

Interoperability endpoints

  • Direct secure messaging: james.downey.1@23367.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1821438037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 GOLDEN EAGLE WAY STE 36",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034334",
            "telephone_number": "904-568-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 GOLDEN EAGLE WAY STE 36",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034334",
            "telephone_number": "904-375-9724",
            "fax_number": "904-644-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-03-12",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME129225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020332400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.