1. Home
  2. Directory
  3. Florida
  4. Pensacola
  5. Family Medicine
  6. NPI Profile

JDPREMIUM HEALTHCARE, LLC
NPI 1538557608
Family Medicine in Pensacola, FL

Active since December 24, 2014CLIA 10D2093396 · Waiver
14 W JORDAN ST STE 150, PENSACOLA, FL 32501(850) 455-1252(844) 683-8754 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Sep 6, 2023, Oct 7, 2020 and 2 more (5 updates tracked since 2019).

About Jdpremium Healthcare, Llc NPPES

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

JDPREMIUM HEALTHCARE, LLC (NPI 1538557608) is a healthcare organization registered as a family medicine in Pensacola, Florida and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Ladaysha L Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538557608
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJDPREMIUM HEALTHCARE, LLC
Location Address14 W JORDAN ST STE 150Pensacola, FL 32501-1740
Mailing Address14 W Jordan St Ste 150Pensacola, FL 32501-1740 · (850) 455-1252 · Fax (844) 683-8754
Phone(850) 455-1252
Fax(844) 683-8754
Organization SubpartNo
Authorized OfficialLadaysha L JacksonCeo · (850) 455-1252
Enumeration DateDecember 24, 2014
Last NPPES UpdateJune 5, 20265 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1538557608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME57721 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9361683 (FL)
14 W JORDAN ST STE 150, Pensacola, FL 32501
Open in Google Maps ↗

Other Identifiers 1

Medicaid015085700FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jdpremium Healthcare, Llc 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 Jdpremium Healthcare, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Abidemi Ajibola, APRN
Nurse Practitioner
NPI 1023732609
14 W JORDAN ST STE 150
Pensacola, FL 32501
(850) 455-1252
✔ PECOSSame address
Ladaysha Jackson, FNP-C
Nurse Practitioner
NPI 1962743351
14 W JORDAN ST STE 1J
Pensacola, FL 32501
(850) 455-1252
✔ PECOS✔ Accepts MedicareSame address
Norman Mcfadden, MD
General Practice
NPI 1326021635
14 W JORDAN ST STE 150
Pensacola, FL 32501
(850) 455-1252
✔ PECOSSame address
Jamaica Moss, APRN, FNP-BC
Nurse Practitioner
NPI 1629466495
14 W JORDAN ST STE 150
Pensacola, FL 32501
(850) 455-1252
✔ PECOS✔ Accepts MedicareSame address
Jonathan Stromas, MD
Internal Medicine
NPI 1396205977
14 W JORDAN ST STE 150
Pensacola, FL 32501
(850) 455-1252
✔ PECOS✔ Accepts MedicareSame address

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

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 10D2093396

Jdpremium Healthcare LLC · Pensacola, FL
Active · expires Mar 25, 2027
CLIA Number10D2093396
Laboratory TypePractitioner Other
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorLadaysha L. Jackson
Laboratory Phone(850) 281-2174
Laboratory LocationJdpremium Healthcare LLC14 W Jordan St Suite 1J, Pensacola, FL 32501
CLIA data matches this NPI record on: 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 Jdpremium Healthcare, LLC's NPI number?

The NPI number for Jdpremium Healthcare, LLC is 1538557608. It was assigned to this organization in the NPPES registry on December 24, 2014.

Where is Jdpremium Healthcare, LLC located?

Jdpremium Healthcare, LLC is located at 14 W Jordan St Ste 150, Pensacola, FL 32501. The listed phone number is (850) 455-1252.

What is Jdpremium Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jdpremium Healthcare, LLC enrolled in Medicare?

Yes. Jdpremium Healthcare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jdpremium Healthcare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Jdpremium Healthcare, LLC. 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 (3), General Practice (1) and Internal Medicine (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jdpremium Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2093396) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jdpremium Healthcare, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Jdpremium Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jdpremium Healthcare, LLC was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.