JMJ FAMILY PRACTICE INC
NPI 1295828887
Clinic/Center - Primary Care in Kissimmee, FL

Active since October 02, 2006CLIA Certified · 2 labs
300 N. JOHN YOUNG PKWY, KISSIMMEE, FL 34741(407) 935-9012(407) 935-9108 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jmj Family Practice Inc NPPES

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

JMJ FAMILY PRACTICE INC (NPI 1295828887) is a healthcare organization registered as a primary care in Kissimmee, Florida and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Indian Harbour Beach, and lists Jose Ramon Fernandez, Medical Doctor / Owner, as its authorized official.

NPPES Registry Identity

NPI1295828887
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJMJ FAMILY PRACTICE INC
Location Address300 N. JOHN YOUNG PKWYKissimmee, FL 34741
Mailing Address300 N John Young PkwyKissimmee, FL 34741-4902 · (407) 935-9012 · Fax (407) 935-9108
Fax(407) 935-9108
Organization SubpartNo
Authorized OfficialJose Ramon FernandezMedical Doctor / Owner · (407) 935-9012
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 12, 2019
✔ NPI 1295828887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
300 N. JOHN YOUNG PKWY, Kissimmee, FL 34741

Secondary Practice Location 1

Location 12040 Highway A1A Ste 209Indian Harbour Beach, FL 32937-3566 · Phone (321) 425-2233

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jmj Family Practice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Jmj Family Practice Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1457866857
300 N JOHN YOUNG PKWY
Kissimmee, FL 34741
(407) 935-9012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699130799
300 N JOHN YOUNG PKWY
Kissimmee, FL 34741
(407) 935-9012
✔ PECOSSame address
Nurse Practitioner
NPI 1497372692
300 N JOHN YOUNG PKWY
Kissimmee, FL 34741
(407) 935-9012
✔ PECOSSame address
Family Practice
NPI 1063516284
300 N. JOHN YOUNG PKWY
Kissimme, FL 34141
(407) 935-9012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619652625
1900 S HARBOR CITY BLVD STE 225
Melbourne, FL 32901
(321) 216-2288
✔ PECOS52 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 2

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 10D1046032

Jmj Family Practice · Kissimmee, FL
Active · expires Sep 28, 2027
CLIA Number10D1046032
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorJose R. Fernandez MD
Laboratory Phone(407) 935-9012
Laboratory LocationJmj Family Practice300 N John Young Pkwy, Kissimmee, FL 34741
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 10D2139586

Jmj Family Practice · Indian Harbour Beach, FL
Active · expires Nov 5, 2027
CLIA Number10D2139586
Laboratory TypeHealth Main. Organization
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorJose R. Fernandez
Laboratory Phone(407) 935-9012
Laboratory LocationJmj Family Practice2040 Hwy A1a Suites 209, Indian Harbour Beach, FL 32937
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 Jmj Family Practice Inc's NPI number?

The NPI number for Jmj Family Practice Inc is 1295828887. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Jmj Family Practice Inc located?

Jmj Family Practice Inc is located at 300 N. John Young Pkwy, Kissimmee, FL 34741. The listed phone number is (407) 935-9012.

What is Jmj Family Practice Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jmj Family Practice Inc enrolled in Medicare?

Yes. Jmj Family Practice Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jmj Family Practice Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Jmj Family Practice Inc. 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 (4) and Family Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jmj Family Practice Inc hold CLIA laboratory certificates?

Yes. 2 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 Jmj Family Practice Inc was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.