NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC
NPI 1568359792
Family Medicine in St Johns, FL

Q: What is Northeast Florida Wound Cure And Hyperbaric Medicine PLLC's specialty?

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

Active since June 20, 2025

205 TRINITY WAY STE 3800, ST JOHNS, FL 32259(612) 310-8971 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2026, Jul 10, 2026, Jul 4, 2025 and 1 more (4 updates tracked since 2025).

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About Northeast Florida Wound Cure And Hyperbaric Medicine Pllc NPPES

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

NORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC (NPI 1568359792), doing business as Gable Wound Care And Hyperbaric Medicine, is a healthcare organization registered as a family medicine in St Johns, Florida and active in the NPI registry since June 2025. The organization maintains 2 additional practice locations and lists Courtney Blair Fahnhorst Vidrine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568359792

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNORTHEAST FLORIDA WOUND CURE AND HYPERBARIC MEDICINE PLLC

Location Address205 TRINITY WAY STE 3800St Johns, FL 32259-1155

Mailing Address101 Marketside Ave Ste 404Ponte Vedra, FL 32081-1542 · (612) 310-8971

Phone(612) 310-8971

Organization SubpartNo

Authorized OfficialCourtney Blair Fahnhorst VidrineCeo · (612) 310-8971

Enumeration DateJune 20, 2025

Last NPPES UpdateAugust 28, 20264 updates tracked since enumeration

NPPES CertifiedAugust 28, 2026

✔ NPI 1568359792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X

Also ListedNurse PractitionerTaxonomy 363L00000X

205 TRINITY WAY STE 3800, St Johns, FL 32259

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Other Names 1

Doing Business AsGable Wound Care And Hyperbaric Medicine

Secondary Practice Locations 2

Location 113241 Bartram Park Blvd Unit 101Jacksonville, FL 32258-5232 · Phone (904) 914-9293

Location 2250 Duran Dr Ste 101St Augustine, FL 32095-0229 · Phone (904) 914-9293

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Florida Wound Cure And Hyperbaric Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Florida Wound Cure And Hyperbaric Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Courtney Fahnhorst Vidrine, M.D.

Family Practice

NPI 1245526466

205 TRINITY WAY
Saint Johns, FL 32259

(904) 410-6040

✔ 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.

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 Northeast Florida Wound Cure And Hyperbaric Medicine PLLC's NPI number?

The NPI number for Northeast Florida Wound Cure And Hyperbaric Medicine PLLC is 1568359792. It was assigned to this organization in the NPPES registry on June 20, 2025. The provider is doing business as Gable Wound Care And Hyperbaric Medicine.

Where is Northeast Florida Wound Cure And Hyperbaric Medicine PLLC located?

Northeast Florida Wound Cure And Hyperbaric Medicine PLLC is located at 205 Trinity Way Ste 3800, St Johns, FL 32259. The listed phone number is (612) 310-8971.

What is Northeast Florida Wound Cure And Hyperbaric Medicine PLLC's specialty?

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

Is Northeast Florida Wound Cure And Hyperbaric Medicine PLLC enrolled in Medicare?

Yes. Northeast Florida Wound Cure And Hyperbaric Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Florida Wound Cure And Hyperbaric Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Northeast Florida Wound Cure And Hyperbaric Medicine PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Florida Wound Cure And Hyperbaric Medicine PLLC was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.