PERRY GENERAL & INTERNAL MEDICINE OF NORTHEAST FLORIDA INC
NPI 1366539090
Internal Medicine in Jacksonville, FL

Active since October 06, 2006CLIA 10D2162928 · Waiver
1301 MONUMENT ROAD, SUITE 21, JACKSONVILLE, FL 32225(904) 724-9334(904) 725-3120 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Perry General & Internal Medicine Of Northeast Florida Inc NPPES

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

PERRY GENERAL & INTERNAL MEDICINE OF NORTHEAST FLORIDA INC (NPI 1366539090) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Tarsha L Perry, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1366539090
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePERRY GENERAL & INTERNAL MEDICINE OF NORTHEAST FLORIDA INC
Location Address1301 MONUMENT ROAD, SUITE 21Jacksonville, FL 32225
Mailing Address1301 Monument Road, Suite 21Jacksonville, FL 32225 · (904) 724-9334 · Fax (904) 725-3120
Fax(904) 725-3120
Organization SubpartNo
Authorized OfficialTarsha L PerryPractice Administrator · (904) 260-9502
Enumeration DateOctober 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1366539090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME61123
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1301 MONUMENT ROAD, Jacksonville, FL 32225

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 10D2162928

Perry General & Internal Medicine · Jacksonville, FL
Active · expires Mar 4, 2027
CLIA Number10D2162928
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorNathan R. Perry Jr
Laboratory Phone(904) 724-9334
Laboratory LocationPerry General & Internal Medicine1301 Monument Rd Ste 19, Jacksonville, FL 32225
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 Perry General & Internal Medicine Of Northeast Florida Inc's NPI number?

The NPI number for Perry General & Internal Medicine Of Northeast Florida Inc is 1366539090. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Perry General & Internal Medicine Of Northeast Florida Inc located?

Perry General & Internal Medicine Of Northeast Florida Inc is located at 1301 Monument Road Suite 21, Jacksonville, FL 32225. The listed phone number is (904) 724-9334.

What is Perry General & Internal Medicine Of Northeast Florida Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Perry General & Internal Medicine Of Northeast Florida Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2162928) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Perry General & Internal Medicine Of Northeast Florida Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.