NPIMap

Individual provider Active NPI

Jamie Ryan Edwards, DO

  • Vascular & Interventional Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1982832572
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OS13684 Issued in FL
Practice address
1 Shircliff Way Dept of
Jacksonville, FL 32204-4748
Phone
(904) 388-6949
Fax
(904) 388-1841
NPI assigned
Jun 23, 2009
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS13684 FL
Vascular & Interventional Radiology Physician 2085R0204X OS13684 FL Primary

Addresses

Primary practice location

1 Shircliff Way Dept of
Jacksonville, FL 32204-4748

Mailing address

PO Box 161180
Altamonte Springs, FL 32716-1180
Phone (904) 388-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001287 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153624309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors McClow Clark and Berk PAGroup PAC ID 4587607577, 23 clinicians

Practice addresses (Care Compare)

1800 Barrs St
Jacksonville, FL 32204-4704
Phone (904) 308-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as group
Quality
83.7
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Feb 1, 2016 Accepting new patients
Doctors McClow Clark & Berk PA Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Au Medical Associates Inc CurrentSince Feb 1, 2016 Accepting new patients
DRS. McClow, Clark & Berk PA Diagnostic Radiology PastSince Jul 25, 2021 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

10503 San Jose Blvd
Ste 100
Jacksonville, FL 32257
Phone (904) 710-3195

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

2345 Forbes St
Jacksonville, FL 32204
Phone (904) 381-9994

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

6488 103rd St
Jacksonville, FL 32210
Phone (904) 450-6810

3316 3rd St S
Ste 101
Jax Bch, FL 32250
Phone (904) 241-7772

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-1219

2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

Organizations & group practices 4

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 6

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1982832572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161180",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327161180",
            "telephone_number": "904-388-6949",
            "fax_number": "904-388-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIRCLIFF WAY DEPT OF",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044748",
            "telephone_number": "904-388-6949",
            "fax_number": "904-388-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAMIE",
        "middle_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS13684",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "OS13684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.