Active NPI
Justin Thomas Combs, M.D.
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME123698
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-7300
- NPI assigned
- Sep 23, 2009
- Last updated
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
1800 Barrs St
Jacksonville, FL 32204-4704
Phone (904) 308-7300
Hospital & facility affiliations
- Ascension St Vincent's Riverside
- Ascension St Vincent's Southside
- Ascension St Vincent's Clay County
- Ascension St Vincent's St Johns County
- Southeast Georgia Health System- Brunswick Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.44 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.306043 | AL | MD | Diagnostic Radiology Physician |
| ME123698 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors McClow Clark & Berk PA | Diagnostic Radiology | Current | Accepting new patients |
| Selma Radiology Associates P C | Current | 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.
-
dba MCB Radiology
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1669420436
-
- Specialist
- Montgomery, AL
- NPI 1669429296
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent's Southside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
dba Ascension St Vincent's St. Johns County
- General Acute Care Hospital
- Saint Johns, FL
- NPI 1861078651
-
dba Ascension St. Vincent's Riverside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
dba Ascension St. Vincent's Clay County
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
dba Ascension St Vincent's Riverside
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.