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904 HEALTH, INC
NPI 1184305435
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since July 28, 2023CLIA Certified · 4 labs
4427 EMERSON ST STE A, JACKSONVILLE, FL 32207(904) 659-2475 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 4, 2025, Jul 28, 2023 (2 updates tracked since 2023).

About 904 Health, Inc NPPES

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

904 HEALTH, INC (NPI 1184305435) is a healthcare organization registered as an infectious disease in Jacksonville, Florida and active in the NPI registry since July 2023. The organization holds 4 active CLIA laboratory certificates, maintains 10 additional practice locations, and lists James Tarver, Director, as its authorized official.

NPPES Registry Identity

NPI1184305435
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business Name904 HEALTH, INC
Location Address4427 EMERSON ST STE AJacksonville, FL 32207-4969
Mailing Address221 N Hogan St Ste 118Jacksonville, FL 32202-4201 · (904) 900-1513 · Fax (904) 575-4944
Phone(904) 659-2475
Organization SubpartYesParent: 904 Health Inc
Authorized OfficialJames TarverDirector · (904) 403-2079
Enumeration DateJuly 28, 2023
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1184305435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4427 EMERSON ST STE A, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Locations 10

Location 12102 14th St WBradenton, FL 34205-6351 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 25951 Clark Center Ave Unit BSarasota, FL 34238-2717 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 32420 S Highway 29Cantonment, FL 32533-5808 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 4320 Oakfield DrBrandon, FL 33511-5723 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 5145 Southern BlvdSavannah, GA 31405-7458 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 63574 US 1 S Ste 101-104St Augustine, FL 32086-6466 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 71823 Business Park BlvdDaytona Beach, FL 32114-1230 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 81104 E Fowler Ave Unit 100Tampa, FL 33612-5404 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 957 Town Ct Ste 215Palm Coast, FL 32164-2425 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 107207 N Nebraska AveTampa, FL 33604-4916 · Phone (904) 900-1513 · Fax (904) 575-4944

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

CLIA Laboratory Certificates CMS CLIA 4

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 11D2317406

904 Health Inc · Savannah, GA
Active · expires Jan 22, 2027
CLIA Number11D2317406
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorPablo Pella
Laboratory Phone(904) 900-1513
Laboratory Location904 Health Inc145 Southern Blvd, Savannah, GA 31405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2286789

904 Health, Inc · Jacksonville, FL
Active · expires Aug 2, 2027
CLIA Number10D2286789
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorPablo Pella
Laboratory Phone(904) 659-2475
Laboratory Location904 Health, Inc4427 Emerson St., Building #3a, Jacksonville, FL 32207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2327659

904 Health, Inc · Tarpon Springs, FL
Active · expires Jul 27, 2027
CLIA Number10D2327659
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorPablo Pella
Laboratory Phone(904) 900-1513
Laboratory Location904 Health, Inc1919 N Pinellas Ave, Tarpon Springs, FL 34689
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2323446

904 Health Inc · Jacksonville, FL
Active · expires May 6, 2027
CLIA Number10D2323446
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorPablo Pella
Laboratory Phone(904) 900-1513
Laboratory Location904 Health Inc590 Ellis Road S, Bldg 4, Jacksonville, FL 32254
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLESSING INYANG
General Practice
4427 EMERSON ST STE A
JACKSONVILLE, FL 32207
Duval County (904) 900-1513

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 904 Health, Inc's NPI number?

The NPI number for 904 Health, Inc is 1184305435. It was assigned to this organization in the NPPES registry on July 28, 2023.

Where is 904 Health, Inc located?

904 Health, Inc is located at 4427 Emerson St Ste A, Jacksonville, FL 32207. The listed phone number is (904) 659-2475.

What is 904 Health, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does 904 Health, Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for 904 Health, Inc was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.