Individual provider Active NPI

Jose J Hernandez Ford, D.O.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1871703843
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009 Issued in TN
Practice address
1601 S.W. Archer Road
Gainesville, FL 32608-1197
Phone
(954) 445-5562
NPI assigned
May 22, 2007
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 2009 TN Primary

Addresses

Primary practice location

1601 S.W. Archer Road
Gainesville, FL 32608-1197

Mailing address

1910 Chatsworth Dr
Germantown, TN 38138-2665
Phone (954) 445-5562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090513000650 TN Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Internal Medicine 0446309843 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2009TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Community Hospital Inc Family Medicine CurrentSince Sep 17, 2023 Accepting new patients
Lexington Hospital Corporation CurrentSince Sep 17, 2023 Accepting new patients
Lexington Hospital Corporation Family Medicine CurrentSince Sep 17, 2023 Accepting new patients
Haywood County Community Hospital Inc CurrentSince Sep 16, 2023 Accepting new patients
Lexington Family Physicians LLC Family Medicine CurrentSince Sep 16, 2023 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Apr 15, 2013 Accepting new patients
Emergency Medical Care Facilities PC CurrentSince Mar 17, 2019 Accepting new patients
Lexington Clinic Corp Family Medicine CurrentSince Aug 14, 2023 Accepting new patients
Haywood County Community Hospital, Inc Family Medicine CurrentSince Sep 16, 2023 Accepting new patients
Shamrock Community Hospital Inc. CurrentSince Sep 17, 2023 Accepting new patients
Shiloh Emergency Physicians LLC Past Accepting new patients
Shamrock Community Hospital Inc Past Accepting new patients
T M Carr MD PC Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777

2545 N Washington Ave
Ste 2
Brownsville, TN 38012

175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

200 W Church St
Lexington, TN 38351
Phone (731) 968-1812

270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

161 Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-4198

4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1871703843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CHATSWORTH DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382665",
            "telephone_number": "954-445-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S.W. ARCHER ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081197",
            "telephone_number": "954-445-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ FORD",
        "first_name": "JOSE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.