Individual provider Active NPI

Justin Thomas Combs, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1861726952
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME123698 Issued in FL
Practice address
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone
(904) 308-7300
NPI assigned
Sep 23, 2009
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME123698 FL Primary
Diagnostic Radiology Physician 2085R0202X MD.306043 AL

Addresses

Primary practice location

1 Shircliff Way
Jacksonville, FL 32204-4748

Mailing address

PO Box 161180
Altamonte Springs, FL 32716-1180
Phone (904) 388-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140623000900 AL Practitioner - Diagnostic Radiology 2961648753 Reassigns benefits to 1 organization
I20150708000250 FL Practitioner - Diagnostic Radiology 2961648753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors McClow Clark and Berk PAGroup PAC ID 4587607577, 23 clinicians

Practice addresses (Care Compare)

1800 Barrs St
Jacksonville, FL 32204-4704
Phone (904) 308-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as group
Quality
83.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.306043ALMDDiagnostic Radiology Physician
ME123698FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors McClow Clark & Berk PA Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Selma Radiology Associates P C CurrentSince Jul 1, 2014 Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624

2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

10503 San Jose Blvd
Ste 100
Jacksonville, FL 32257
Phone (904) 710-3195

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

2345 Forbes St
Jacksonville, FL 32204
Phone (904) 381-9994

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

6488 103rd St
Jacksonville, FL 32210
Phone (904) 450-6810

3316 3rd St S
Ste 101
Jax Bch, FL 32250
Phone (904) 241-7772

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960

2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270

Organizations & group practices 2

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 6

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1861726952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161180",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327161180",
            "telephone_number": "904-388-6949",
            "fax_number": "904-388-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIRCLIFF WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044748",
            "telephone_number": "904-308-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME123698",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.306043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.