NPIMap

Organization Active NPI

U.S. Preventive Medicine, Inc.

Doing business as The Prevention Plan

  • Corporate Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1881838084
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
U.S. PREVENTIVE MEDICINE, INC.
Doing business as
The Prevention Plan
Practice address
12740 Gran Bay Pkwy W
Suite 2400
Jacksonville, FL 32258-5487
Phone
(904) 281-0006
Fax
(904) 665-0097
NPI assigned
May 1, 2009
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. PREVENTIVE MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
James Evans
Title
C.O.O.
Phone
(904) 562-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

12740 Gran Bay Pkwy W
Suite 2400
Jacksonville, FL 32258-5487

Mailing address

12724 Gran Bay Pkwy W Ste 150
Jacksonville, FL 32258-9486
Phone (904) 562-6308

Other names 1

  • The Prevention Plan Doing business as

National Provider Directory

National Provider Directory
Part of
US Preventive Medicine Inc

Locations

12740 Gran Bay Pkwy W
Ste 2400
Jacksonville, FL 32258
Phone (904) 229-0510

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1881838084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12724 GRAN BAY PKWY W STE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589486",
            "telephone_number": "904-562-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 GRAN BAY PKWY W",
            "address_2": "SUITE 2400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585487",
            "telephone_number": "904-281-0006",
            "fax_number": "904-665-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. PREVENTIVE MEDICINE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. PREVENTIVE MEDICINE",
        "enumeration_date": "2009-05-01",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "904-562-6308"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prevention Plan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Prevention Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.