Prime Health Aco, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIME HEALTH ACO, LLC

Practice address

7685 103Rd St Ste 1
Jacksonville, FL 32210-9326

Phone

(904) 771-1116

Fax

(904) 394-5115

NPI assigned

May 12, 2022

Last updated

May 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed S Hussain, MDNPI 1588750970

Title

Managing Director

Phone

(904) 771-1116

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed S Hussain, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1588750970
  Authorized official Same address or phone

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1821734716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 103RD ST STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322109326",
            "telephone_number": "904-771-1116",
            "fax_number": "904-394-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 103RD ST STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322109326",
            "telephone_number": "904-771-1116",
            "fax_number": "904-394-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH ACO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "904-771-1116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Plus Occupational Health Care Inc
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• Prime Pharmacy, LLC (Prime Pharmacy)
• Jordanne C Prime
• Austin Primeaux
• Primecare DME Solutions LLC

• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.