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

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, MD

Title

Managing Director

Phone

(904) 771-1116

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCATION",
            "identifier": "7685",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care and Wellness Center of Florida
• Primary Care Choices
• Primary Care on Call, Inc
• Primary Care Options Inc
• Primary Plus Occupational Health Care Inc
• Prime Healthcare America LLC
• Prime Pharmacy, LLC
• Jordanne C Prime
• Austin Primeaux
• Primero Spine and Joint 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.