Individual provider Active NPI

Michael Sweda

  • Sports Medicine (Family Medicine) Physician
  • St Augustine, FL
National Provider Identifier
1902546914
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME171820 Issued in FL
Practice address
4255 US 1 S Ste 10
St Augustine, FL 32086-7000
Phone
(904) 240-0565
NPI assigned
Mar 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME171820 FL
Sports Medicine (Family Medicine) Physician 207QS0010X ME171820 FL Primary

Addresses

Primary practice location

4255 US 1 S Ste 10
St Augustine, FL 32086-7000

Mailing address

4255 US 1 S Ste 10
St Augustine, FL 32086-7000
Phone (904) 240-0565

Other practice location 1

201 Village Oaks Dr
Jacksonville, FL 32259-3876
Phone (904) 240-0442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael@jaxfamilysportsmed.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220722000130 FL Order and Referring Only - Family PracticePractitioner - Family Practice 5991186983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: michael.sweda@hca5.eclinicaldirectplus.com
  • Direct secure messaging: michael.swedamd@direct.mybaycare.org

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1902546914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 US 1 S STE 10",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867000",
            "telephone_number": "904-240-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 US 1 S STE 10",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867000",
            "telephone_number": "904-240-0565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Village Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322593876",
            "country_code": "US",
            "telephone_number": "904-240-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEDA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME171820",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME171820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@jaxfamilysportsmed.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4255 US 1 S Ste 10",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320867000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.