FAMILIES FIRST MEDICAL GROUP LLC
NPI 1154942563
Family Medicine in Jacksonville, FL

Active since April 27, 2020
11555 CENTRAL PKWY STE 402, JACKSONVILLE, FL 32224(904) 747-3800 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Families First Medical Group Llc NPPES

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

FAMILIES FIRST MEDICAL GROUP LLC (NPI 1154942563) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since April 2020. The organization lists Tracee Holzendorf, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154942563
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILIES FIRST MEDICAL GROUP LLC
Location Address11555 CENTRAL PKWY STE 402Jacksonville, FL 32224-2695
Mailing Address8246 Riding Club Rd EJacksonville, FL 32256-7266 · (904) 707-6042
Organization SubpartNo
Authorized OfficialTracee HolzendorfAdministrator · (904) 608-0095
Enumeration DateApril 27, 2020
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1154942563 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.
11555 CENTRAL PKWY STE 402, Jacksonville, FL 32224

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Families First Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Families First Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1184300808
11555 CENTRAL PKWY STE 402
Jacksonville, FL 32224
(904) 747-3800
✔ PECOSSame address
Nurse Practitioner
NPI 1184508020
11555 CENTRAL PKWY STE 402
Jacksonville, FL 32224
(904) 747-3800
✔ PECOSSame address
Nurse Practitioner
NPI 1043873441
3900 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 222-6656
✔ PECOS✔ Accepts Medicare5.1 mi
Family Practice
NPI 1184602583
12086 FORT CAROLINE RD STE 401
Jacksonville, FL 32225
(904) 565-1271
✔ PECOS6.7 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2197879

Families First Medical Group · Jacksonville, FL
Expired · Oct 27, 2026
CLIA Number10D2197879
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorKia Mitchell
Laboratory Phone(904) 608-0095
Laboratory LocationFamilies First Medical Group11555 Central Parkway Suite 402, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Families First Medical Group LLC's NPI number?

The NPI number for Families First Medical Group LLC is 1154942563. It was assigned to this organization in the NPPES registry on April 27, 2020.

Where is Families First Medical Group LLC located?

Families First Medical Group LLC is located at 11555 Central Pkwy Ste 402, Jacksonville, FL 32224. The listed phone number is (904) 747-3800.

What is Families First Medical Group LLC's specialty?

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

Is Families First Medical Group LLC enrolled in Medicare?

Yes. Families First Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Families First Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Families First Medical Group 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Families First Medical Group LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Families First Medical Group 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 Families First Medical Group LLC was last updated on December 17, 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.