Active NPI
Jason Siegel, MD
- Neurology Physician
- Jacksonville, FL
National Provider Identifier
1851658538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME117198
- Practice address
- 13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5291 - Phone
- (904) 544-5350
- Fax
- (904) 533-7239
- NPI assigned
- Apr 18, 2012
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME117198 | FL | Primary |
Addresses
Primary practice location
13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5291
Mailing address
13500 Sutton Park Dr S Ste 203
Jacksonville, FL 32224-5291
Phone (904) 544-5350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME117198 | FL | MD | Neurology Physician |
Interoperability endpoints
- jason.siegel.1@8967.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1851658538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 SUTTON PARK DR S STE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245291",
"telephone_number": "904-544-5350",
"fax_number": "904-659-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13500 SUTTON PARK DR S STE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245291",
"telephone_number": "904-544-5350",
"fax_number": "904-533-7239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JASON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME117198",
"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 Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.