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MARIGOLD FAMILY CARE LLC
NPI 1124872502
Family Medicine in Jacksonville, FL

Active since April 12, 2024
5235 ANGEL LAKE DR, JACKSONVILLE, FL 32218(904) 274-2007(850) 248-2469 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marigold Family Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIGOLD FAMILY CARE LLC (NPI 1124872502) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since April 2024. The organization lists Maria J Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124872502
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARIGOLD FAMILY CARE LLC
Location Address5235 ANGEL LAKE DRJacksonville, FL 32218-7544
Mailing Address5235 Angel Lake DrJacksonville, FL 32218-7544 · (850) 276-5731 · Fax (850) 248-2469
Phone(904) 274-2007
Fax(850) 248-2469
Organization SubpartNo
Authorized OfficialMaria J JacksonOwner · (850) 276-5731
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1124872502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5235 ANGEL LAKE DR, Jacksonville, FL 32218
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marigold Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marigold Family Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maria Jackson, APRN
Nurse Practitioner
NPI 1952972754
5235 ANGEL LAKE DR
Jacksonville, FL 32218
(904) 274-2007
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marigold Family Care LLC's NPI number?

The NPI number for Marigold Family Care LLC is 1124872502. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Marigold Family Care LLC located?

Marigold Family Care LLC is located at 5235 Angel Lake Dr, Jacksonville, FL 32218. The listed phone number is (904) 274-2007.

What is Marigold Family Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marigold Family Care LLC enrolled in Medicare?

Yes. Marigold Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marigold Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Marigold Family Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marigold Family Care LLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.