Individual provider Active NPI

William Wesson Nields, M.D.

  • General Practice Physician
  • Jacksonville Beach, FL
National Provider Identifier
1972587848
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME89110 Issued in FL
Practice address
4300 Marsh Landing Blvd Ste 203
Jacksonville Beach, FL 32250-1420
Phone
(904) 807-4482
Fax
(904) 807-4482
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 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 ME89110 FL
General Practice Physician 208D00000X ME89110 FL Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd Ste 203
Jacksonville Beach, FL 32250-1420

Mailing address

4300 Marsh Landing Blvd Ste 203
Jacksonville Beach, FL 32250-1420
Phone (904) 807-4482

Other identifiers 1

IdentifierTypeStateIssuer
HO185YOtherFLMEDICARE

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
I20130930000511 FL Practitioner - General Practice 3779582499 Reassigns benefits to 1 organization
Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of South Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 Fruitville Rd
Suite 290
Sarasota, FL 34237-5347
Phone (941) 529-0077

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William Nields, PLLC Family Medicine CurrentSince Jun 4, 2019 Accepting new patients
Cognitive Health Centers, LLC General Practice CurrentSince Nov 19, 2021 Accepting new patients
The Fannie E. Taylor Home for the Aged - Care Center, Inc. Past Accepting new patients

Locations

1539 Parental Home Rd
#5
Jacksonville, FL 32216
Phone (904) 290-6028

4348 Southpoint Blvd
Ste 310
Jacksonville, FL 32216
Phone (904) 290-6028

2801 Fruitville Rd
Ste 290
Sarasota, FL 34237
Phone (941) 529-0077

Interoperability endpoints

  • Direct secure messaging: drnields@org177.direct.charmhealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1972587848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 203",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501420",
            "telephone_number": "904-807-4482",
            "fax_number": "904-807-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 203",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501420",
            "telephone_number": "904-807-4482",
            "fax_number": "904-807-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELDS",
        "first_name": "WILLIAM",
        "middle_name": "WESSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89110",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME89110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HO185Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.