Individual provider Active NPI

Maia W Martinez-Heath, DO

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1821475328
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14380 Issued in FL
Practice address
1660 Prudential Dr Ste 400
Jacksonville, FL 32207-8188
Phone
(904) 396-0000
Fax
(904) 390-7500
NPI assigned
May 4, 2015
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 OS14380 FL Primary

Addresses

Primary practice location

1660 Prudential Dr Ste 400
Jacksonville, FL 32207-8188

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

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
I20181204002745 FL Practitioner - Family Practice 7810200342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2015
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)

1660 Prudential Dr
Suite 400
Jacksonville, FL 32207-8188
Phone (904) 396-0000

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14380FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

45465 Fifth Ave
Callahan, FL 32011
Phone (904) 879-4544

1660 Prudential Dr
Ste 400
Jacksonville, FL 32207
Phone (904) 396-0000

524 Skymarks Dr
Ste 1
Jacksonville, FL 32218
Phone (904) 696-7333

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

841 Prudential Dr
Ste 180
Jacksonville, FL 32207
Phone (904) 202-3300

520 A1A N
Ste 101
Ponte Vedra Beach, FL 32082
Phone (904) 273-6900

98 Nocatee Village Dr
Ponte Vedra Beach, FL 32081
Phone (904) 202-4243

Interoperability endpoints

  • Direct secure messaging: mmartinezheath28159@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1821475328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 PRUDENTIAL DR STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078188",
            "telephone_number": "904-396-0000",
            "fax_number": "904-390-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-HEATH",
        "first_name": "MAIA",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.