Organization Active NPI

Primary Care Choices

  • Primary Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1891560744
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY CARE CHOICES
Practice address
11681 Lois Jerry Rd
Jacksonville, FL 32258-2503
Phone
(904) 254-5603
Fax
(904) 643-4724
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Margaret Mosher, APRNNPI 1184050577
Title
Owner
Phone
(904) 254-5603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11681 Lois Jerry Rd
Jacksonville, FL 32258-2503

Mailing address

11681 Lois Jerry Rd
Jacksonville, FL 32258-2503
Phone (904) 254-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220002811 FL Part B Supplier - Clinic/Group Practice 7012367881 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

12276 San Jose Blvd
Ste 707
Jacksonville, FL 32223
Phone (904) 539-3164

12276 San Jose Blvd
Ste 707
Jacksonville, FL 32223

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1891560744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11681 LOIS JERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582503",
            "telephone_number": "904-254-5603",
            "fax_number": "904-643-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11681 LOIS JERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582503",
            "telephone_number": "904-254-5603",
            "fax_number": "904-643-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CHOICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-254-5603",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.