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MONOGRAM HEALTH PROFESSIONAL SERVICES OF FLORIDA LLC
NPI 1538883111
Internal Medicine - Nephrology in Jacksonville, FL

Active since September 28, 2022CLIA Certified · 2 labs
4720 SALISBURY RD, JACKSONVILLE, FL 32256(615) 673-4455(615) 432-4651 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2022, Sep 28, 2022 (2 updates tracked since 2022).

About Monogram Health Professional Services Of Florida Llc NPPES

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

MONOGRAM HEALTH PROFESSIONAL SERVICES OF FLORIDA LLC (NPI 1538883111) is a healthcare organization registered as a nephrology in Jacksonville, Florida and active in the NPI registry since September 2022. The organization holds 2 active CLIA laboratory certificates and lists Shawn L Verner, Secretary, as its authorized official.

NPPES Registry Identity

NPI1538883111
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMONOGRAM HEALTH PROFESSIONAL SERVICES OF FLORIDA LLC
Location Address4720 SALISBURY RDJacksonville, FL 32256-6101
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (615) 465-8684 · Fax (629) 240-6003
Phone(615) 673-4455
Fax(615) 432-4651
Organization SubpartNo
Authorized OfficialShawn L VernerSecretary · (615) 994-1889
Enumeration DateSeptember 28, 2022
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1538883111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedSpecialistTaxonomy 174400000X
Also ListedPharmacist · CardiologyTaxonomy 1835C0206X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
4720 SALISBURY RD, Jacksonville, FL 32256
Open in Google Maps ↗

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 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 10D2317230

Monogram Health Professional Services Of Florida LLC · Jacksonville, FL
Active · expires Jan 20, 2027
CLIA Number10D2317230
Laboratory TypeIn Home Patient Care Coor
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorShaminder Gupta
Laboratory Phone(480) 716-4059
Laboratory LocationMonogram Health Professional Services Of Florida LLC4720 Salisbury Road, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2309929

Monogram Health Professional Services Of Florida, LLC · Jacksonville, FL
Active · expires Aug 22, 2026
CLIA Number10D2309929
Laboratory TypeIn-Home Patient Care Coor
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorShaminder Gupta
Laboratory Phone(480) 716-4059
Laboratory LocationMonogram Health Professional Services Of Florida, LLC4720 Salisbury Road, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LATISHA M HILL MSW
Social Worker (Clinical)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Duval County (904) 493-6190
MISS SABRINA ISABEL LEAL M.S. SLP
Speech-Language Pathologist
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Duval County (904) 652-6165
COX BEHAVIORAL HEALTH GROUP LLC
Community/Behavioral Health
4720 SALISBURY RD, # 103
JACKSONVILLE, FL 32256
Duval County (904) 655-8973
CHEM MEDICAL INC
Non-emergency Medical Transport (VAN)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Duval County (786) 307-2724
IMPACT HOME CARE SERVICES LLC
Day Training, Developmentally Disabled Services
4720 SALISBURY RD, UNIT 110
JACKSONVILLE, FL 32256
Duval County (904) 415-7665
OPEN PERSPECTIVES, LLC
Community/Behavioral Health
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Duval County (904) 479-8459
NURSES REGISTRY AND HOME HEALTH CORPORATION
Home Health
4720 SALISBURY RD, SUITE 107
JACKSONVILLE, FL 32256
Duval County (904) 685-8866
MYLOUSE MILLIE SAGESSE
Counselor (Mental Health)
4720 SALISBURY RD
JACKSONVILLE, FL 32256
Duval County (904) 562-1391

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 Monogram Health Professional Services Of Florida LLC's NPI number?

The NPI number for Monogram Health Professional Services Of Florida LLC is 1538883111. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Monogram Health Professional Services Of Florida LLC located?

Monogram Health Professional Services Of Florida LLC is located at 4720 Salisbury Rd, Jacksonville, FL 32256. The listed phone number is (615) 673-4455.

What is Monogram Health Professional Services Of Florida LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Monogram Health Professional Services Of Florida LLC 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 Monogram Health Professional Services Of Florida LLC was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.