JIROMA, INC
NPI 1265749428
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Jiroma, Inc's NPI number?

The NPI number for Jiroma, Inc is 1265749428. It was assigned to this organization in the NPPES registry on September 9, 2010.

Q: What is Jiroma, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jiroma, Inc was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 09, 2010CLIA 10D2061553 · Waiver

1080 EDGEWOOD AVE S, SUITE 7, JACKSONVILLE, FL 32205(904) 384-9007(904) 384-2899 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jiroma, Inc NPPES

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

JIROMA, INC (NPI 1265749428) is a healthcare organization registered as a family in Jacksonville, Florida and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists James Carlton Whited, President, as its authorized official.

NPPES Registry Identity

NPI1265749428

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameJIROMA, INC

Location Address1080 EDGEWOOD AVE S, SUITE 7Jacksonville, FL 32205-5393

Mailing AddressPo Box 380104Jacksonville, FL 32205-0604 · (904) 384-9007

Phone(904) 384-9007

Fax(904) 384-2899

Organization SubpartNo

Authorized OfficialJames Carlton WhitedPresident · (904) 384-9007

Enumeration DateSeptember 9, 2010

Last NPPES UpdateJune 19, 2013

✔ NPI 1265749428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 9279002

Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X · License 9279002 (FL)

Also ListedHealth EducatorTaxonomy 174H00000X · License 9279002 (FL)

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 9279002 (FL)

1080 EDGEWOOD AVE S, Jacksonville, FL 32205

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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

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 10D2061553

Jiroma Inc · Jacksonville, FL

Active · expires Dec 20, 2026

CLIA Number10D2061553

Laboratory TypePhysician Office

Certificate Effective DateDecember 21, 2024

Certificate Expiration DateDecember 20, 2026

Laboratory DirectorJames C. Whited

Laboratory Phone(904) 384-9007

Laboratory LocationJiroma Inc455 Edgewood Ave S, Jacksonville, FL 32205

CLIA data matches this NPI record on: 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 Jiroma, Inc's NPI number?

The NPI number for Jiroma, Inc is 1265749428. It was assigned to this organization in the NPPES registry on September 9, 2010.

Where is Jiroma, Inc located?

Jiroma, Inc is located at 1080 Edgewood Ave S Suite 7, Jacksonville, FL 32205. The listed phone number is (904) 384-9007.

What is Jiroma, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Jiroma, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2061553) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jiroma, Inc was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.