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MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
NPI 1144991753
Otolaryngology in Orange Park, FL

Active since September 23, 2021
1409 KINGSLEY AVE STE 6A, ORANGE PARK, FL 32073(904) 639-2270 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Family Practice Associates, Llc NPPES

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

MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC (NPI 1144991753) is a healthcare organization registered as an otolaryngology in Orange Park, Florida and active in the NPI registry since September 2021. The organization lists William Tedrick Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1144991753
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
Location Address1409 KINGSLEY AVE STE 6AOrange Park, FL 32073-4592
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 372-5426
Phone(904) 639-2270
Organization SubpartYes
Authorized OfficialWilliam Tedrick JohnsonVice President · (615) 372-3375
Enumeration DateSeptember 23, 2021
NPPES CertifiedSeptember 7, 2021
✔ NPI 1144991753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1409 KINGSLEY AVE STE 6A, Orange Park, FL 32073
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Memorial Family Practice Associates, LLC's NPI number?

The NPI number for Memorial Family Practice Associates, LLC is 1144991753. It was assigned to this organization in the NPPES registry on September 23, 2021.

Where is Memorial Family Practice Associates, LLC located?

Memorial Family Practice Associates, LLC is located at 1409 Kingsley Ave Ste 6A, Orange Park, FL 32073. The listed phone number is (904) 639-2270.

What is Memorial Family Practice Associates, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Memorial Family Practice Associates, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Memorial Family Practice Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Family Practice Associates, LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.