FIRST COAST FAMILY MEDICINE PA
NPI 1558457341
Family Medicine in Jacksonville, FL

Active since October 05, 2006CLIA 10D1069225 · Waiver
9130 RG SKINNER PARKWAY, JACKSONVILLE, FL 32256(904) 538-0950(904) 538-0952 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2022, May 21, 2021, Nov 5, 2020 (3 updates tracked since 2020).

About First Coast Family Medicine Pa NPPES

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

FIRST COAST FAMILY MEDICINE PA (NPI 1558457341) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Terry D Hashey, Owner, as its authorized official.

NPPES Registry Identity

NPI1558457341
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIRST COAST FAMILY MEDICINE PA
Location Address9130 RG SKINNER PARKWAYJacksonville, FL 32256
Mailing Address9130 Rg Skinner PkwyJacksonville, FL 32256 · (904) 538-0950 · Fax (904) 538-0952
Fax(904) 538-0952
Organization SubpartNo
Authorized OfficialTerry D HasheyOwner · (904) 538-0950
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 28, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
NPI 1558457341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS 9368
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.
9130 RG SKINNER PARKWAY, Jacksonville, FL 32256

Other Identifiers 1

OtherAC476Medicare Ptan

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

Accepted Insurance

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 10D1069225

First Coast Family Medicine · Jacksonville, FL
Active · expires Jun 23, 2027
CLIA Number10D1069225
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorTerry D. Hashey
Laboratory Phone(904) 538-0950
Laboratory LocationFirst Coast Family Medicine9130 Rg Skinner Parkway, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
9130 RG SKINNER PARKWAY
JACKSONVILLE, FL 32256

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 First Coast Family Medicine PA's NPI number?

The NPI number for First Coast Family Medicine PA is 1558457341. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is First Coast Family Medicine PA located?

First Coast Family Medicine PA is located at 9130 Rg Skinner Parkway, Jacksonville, FL 32256. The listed phone number is (904) 538-0950.

What is First Coast Family Medicine PA's specialty?

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

Does First Coast Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1069225) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does First Coast Family Medicine PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list First Coast Family Medicine PA 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 First Coast Family Medicine PA was last updated on September 28, 2023. 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.