Individual provider Active NPI

Cory Lee McCormick, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville Beach, FL
National Provider Identifier
1861940819
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9242818 Issued in FL
Practice address
710 13TH Ave S
Jacksonville Beach, FL 32250-5032
Phone
(904) 322-3475
NPI assigned
Sep 20, 2016
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9242818 FL Primary

Addresses

Primary practice location

710 13TH Ave S
Jacksonville Beach, FL 32250-5032

Mailing address

710 13TH Ave S
Jacksonville Beach, FL 32250-5032
Phone (904) 322-3475

Other practice location 1

9889 Gate Pkwy N Ste 305
Jacksonville, FL 32246-9230
Phone (904) 513-3954

Other practice location 2

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180905000398 FL Practitioner - Nurse Practitioner 1052609880 Reassigns benefits to 6 organizations
I20260408002622 PA Practitioner - Nurse Practitioner 1052609880 Reassigns benefits to 1 organization
I20260515003941 TX Practitioner - Nurse Practitioner 1052609880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balanced Wellbeing Nationwide PAGroup PAC ID 7012405145, shared by 4 NPIs, 21 clinicians
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

Williston, VT 05495
Phone (877) 779-2429

State College, PA 16803
Phone (352) 445-1200

Austin, TX 78705
Phone (877) 779-2429

22385 Flora Parke Xing
Fernandina Beach, FL 32034-8000
Phone (904) 404-8641

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

710 13TH Ave S
Jacksonville Beach, FL 32250-5032
Phone (904) 322-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cory McCormick, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients
MCR Health, Inc. Family CurrentSince Apr 2, 2024 Accepting new patients
Balanced Wellbeing LLC CurrentSince Apr 29, 2024 Accepting new patients
Balanced Wellbeing Nationwide PA CurrentSince May 26, 2026 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Sep 16, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Jacksonville Lung Clinic LLC CurrentSince Apr 23, 2018 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

22385 Flora Parke Xing
Fernandina Beach, FL 32034
Phone (904) 404-8641

608 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 971-7084

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

8705 Perimeter Park Blvd
Ste 2
Jacksonville, FL 32216
Phone (904) 248-3910

1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

2140 Kingsley Ave
Orange Park, FL 32073
Phone (904) 213-0600

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028

300 Interstate Corporate Ctr
Ste 300
Williston, VT 05495

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1861940819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 13TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505032",
            "telephone_number": "904-322-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 13TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505032",
            "telephone_number": "904-322-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9889 Gate Pkwy N Ste 305",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322469230",
            "country_code": "US",
            "telephone_number": "904-513-3954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CORY",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9242818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.