DR. TERRELL BACCHUS MD
NPI 1609189901
Family Medicine in Jacksonville, FL
About Dr. Terrell Bacchus Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TERRELL BACCHUS MD (NPI 1609189901) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME136868) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Terrell Bacchus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Terrell Bacchus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32225
- Reassigned Medicare billing, Florida enrollment
- 348 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32225
JACKSONVILLE, FL 32225
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 Terrell Bacchus's NPI number?
The NPI number for Terrell Bacchus is 1609189901. It was assigned to this individual provider in the NPPES registry on July 15, 2010.
Where is Terrell Bacchus located?
Terrell Bacchus practices at 9422 Arlington Expy, Jacksonville, FL 32225. The listed phone number is (904) 559-1844.
What is Terrell Bacchus's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Terrell Bacchus enrolled in Medicare?
Yes. Terrell Bacchus is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Terrell Bacchus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terrell Bacchus reassigns Medicare benefits to Dedicated Senior Medical Center Of Florida, LLC (Jacksonville, FL). The 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 Terrell Bacchus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Terrell Bacchus was last updated on November 21, 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.
# Dr. Terrell Bacchus, MD · NPI 1609189901
Family Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 15, 2010.
## Identity
- **NPI:** 1609189901 (Entity type: Individual)
- **Enumerated:** July 15, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME136868 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 9422 ARLINGTON EXPY, Jacksonville, FL 32225-8231
- **Phone:** (904) 559-1844
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dedicated Senior Medical Center Of Florida, LLC (NPI 1346757432, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609189901) · Data from the CMS NPPES public registry.