PARTHENON MEDICAL PLLC
NPI 1285117549
Nurse Practitioner - Primary Care in Jacksonville, FL

Q: What is Parthenon Medical PLLC's NPI number?

The NPI number for Parthenon Medical PLLC is 1285117549. It was assigned to this organization in the NPPES registry on September 12, 2018.

Q: What is Parthenon Medical PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since September 12, 2018CLIA 10D2016818 · Waiver

5105 BOWDEN RD STE 3, JACKSONVILLE, FL 32216(904) 660-7896(904) 212-2227 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2019, Oct 29, 2019, Oct 14, 2019 and 1 more (4 updates tracked since 2018).

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About Parthenon Medical Pllc NPPES

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

PARTHENON MEDICAL PLLC (NPI 1285117549) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Philip Carnevale, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1285117549

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NamePARTHENON MEDICAL PLLC

Location Address5105 BOWDEN RD STE 3Jacksonville, FL 32216-5907

Mailing Address5105 Bowden Rd Ste 3Jacksonville, FL 32216-5907 · (904) 609-3349 · Fax (904) 212-2227

Phone(904) 660-7896

Fax(904) 212-2227

Organization SubpartNo

Authorized OfficialPhilip CarnevaleNurse Practitioner · (904) 609-3349

Enumeration DateSeptember 12, 2018

Last NPPES UpdateJanuary 9, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1285117549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

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

Taxonomy Code363LP2300X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

5105 BOWDEN RD STE 3, Jacksonville, FL 32216

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Other Identifiers 1

Medicaid101879200FL

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 10D2016818

Parthenon Medical Center LLC · Jacksonville, FL

Active · expires Nov 28, 2026

CLIA Number10D2016818

Laboratory TypePhysician Office

Certificate Effective DateNovember 29, 2024

Certificate Expiration DateNovember 28, 2026

Laboratory DirectorLaura Baker

Laboratory Phone(813) 362-1171

Laboratory LocationParthenon Medical Center LLC5105 Bowden Rd, Jacksonville, FL 32216

CLIA data matches this NPI record on: Address Name

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 Parthenon Medical PLLC's NPI number?

The NPI number for Parthenon Medical PLLC is 1285117549. It was assigned to this organization in the NPPES registry on September 12, 2018.

Where is Parthenon Medical PLLC located?

Parthenon Medical PLLC is located at 5105 Bowden Rd Ste 3, Jacksonville, FL 32216. The listed phone number is (904) 660-7896.

What is Parthenon Medical PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Parthenon Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2016818) is associated with this NPI, valid through November 28, 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 Parthenon Medical PLLC was last updated on January 9, 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.