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MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
NPI 1619546850
Otolaryngology in Orange Park, FL

Active since June 22, 2021
1893 KINGSLEY AVE STE C, ORANGE PARK, FL 32073(904) 639-2260 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Family Practice Associates, Llc NPPES

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

MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC (NPI 1619546850) is a healthcare organization registered as an otolaryngology in Orange Park, Florida and active in the NPI registry since June 2021. The organization lists William Tedrick Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1619546850
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
Location Address1893 KINGSLEY AVE STE COrange Park, FL 32073-4421
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 372-5426
Phone(904) 639-2260
Organization SubpartYes
Authorized OfficialWilliam Tedrick JohnsonVice President · (615) 372-3375
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1619546850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1893 KINGSLEY AVE STE C, Orange Park, FL 32073
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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).Insurance ›

Other Providers at the Same Location NPPES 2

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

GASTON METELUS ARNP
Nurse Practitioner (Family)
1893 KINGSLEY AVE STE C
ORANGE PARK, FL 32073
Clay County (904) 444-5046
KHALED R MAGDY M.D.
Internal Medicine (Pulmonary Disease)
1893 KINGSLEY AVE STE C
ORANGE PARK, FL 32073
Clay County (904) 276-2044

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 Memorial Family Practice Associates, LLC's NPI number?

The NPI number for Memorial Family Practice Associates, LLC is 1619546850. It was assigned to this organization in the NPPES registry on June 22, 2021.

Where is Memorial Family Practice Associates, LLC located?

Memorial Family Practice Associates, LLC is located at 1893 Kingsley Ave Ste C, Orange Park, FL 32073. The listed phone number is (904) 639-2260.

What is Memorial Family Practice Associates, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Memorial Family Practice Associates, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Memorial Family Practice Associates, 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 Memorial Family Practice Associates, LLC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.