NPIMap

Organization Active NPI

Amelia Urgent Care LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1982844163
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AMELIA URGENT CARE LLC
Practice address
510 Airport Center Dr
Suite 109
Jacksonville, FL 32218-7257
Phone
(904) 696-0055
NPI assigned
Feb 27, 2009
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Daniel Matricia, DONPI 1912972530
Title
Medical Director
Phone
(904) 696-0055

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
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

510 Airport Center Dr
Suite 109
Jacksonville, FL 32218-7257

Mailing address

96279 Brady Point Rd
Fernandina Beach, FL 32034-7076

Other names 1

  • Med Xpress at River City Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000186 FL Part B Supplier - Clinic/Group Practice 6608877915 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, FL; Fernandina Beach, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1099314Amelia Urgent Care, LLC510 Airport Center Dr - Ste 109, Jacksonville, FL 32218Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Locations

510 Airport Center Dr
Ste 109
Jacksonville, FL 32218
Phone (904) 636-0055

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1982844163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96279 BRADY POINT RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320347076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 AIRPORT CENTER DR",
            "address_2": "SUITE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187257",
            "telephone_number": "904-696-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "MATRICIA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-696-0055",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Xpress at River City",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.