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JACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC
NPI 1679011969
Internal Medicine in Oxford, AL

Active since February 07, 2017CLIA 01D2128001 · Waiver
1323 HAMRIC DR E STE A, OXFORD, AL 36203(256) 365-2416(256) 365-2426 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Mar 2, 2017, Feb 7, 2017 (3 updates tracked since 2017).

About Jacksonville Internal Medicine And Wellness, Llc NPPES

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

JACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC (NPI 1679011969) is a healthcare organization registered as an internal medicine in Oxford, Alabama and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Eduardo J Villeda, Owner, as its authorized official.

NPPES Registry Identity

NPI1679011969
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACKSONVILLE INTERNAL MEDICINE AND WELLNESS, LLC
Location Address1323 HAMRIC DR E STE AOxford, AL 36203-1917
Mailing Address1323 Hamric Dr E Ste AOxford, AL 36203-1917 · (256) 365-2416 · Fax (256) 365-2426
Phone(256) 365-2416
Fax(256) 365-2426
Organization SubpartNo
Authorized OfficialEduardo J VilledaOwner · (917) 684-7325
Enumeration DateFebruary 7, 2017
Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1679011969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1323 HAMRIC DR E STE A, Oxford, AL 36203
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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 01D2128001

Jacksonville Internal Medicine & Wellness LLC Dba Oxford Internal Medicine & Wellness LLC · Oxford, AL
Active · expires Mar 21, 2027
CLIA Number01D2128001
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorEduardo J. Villeda
Laboratory Phone(256) 365-2416
Laboratory LocationJacksonville Internal Medicine & Wellness LLC Dba Oxford Internal Medicine & Wellness LLC1323 Hamric Drive East, Suite A, Oxford, AL 36203
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

EDUARDO JAVIER VILLEDA M.D.
Internal Medicine
1323 HAMRIC DR E STE A
OXFORD, AL 36203
Talladega County (256) 365-2416
CHEAHA COUNSELING AND CONSULTING LLC
Counselor (Mental Health)
1323 HAMRIC DR E STE A
OXFORD, AL 36203
Talladega County (256) 403-5183
MRS. TIFFANY HICKMAN-GAINES LPC
Counselor (Professional)
1323 HAMRIC DR E STE A
OXFORD, AL 36203
Talladega County (256) 835-4883

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 Jacksonville Internal Medicine And Wellness, LLC's NPI number?

The NPI number for Jacksonville Internal Medicine And Wellness, LLC is 1679011969. It was assigned to this organization in the NPPES registry on February 7, 2017.

Where is Jacksonville Internal Medicine And Wellness, LLC located?

Jacksonville Internal Medicine And Wellness, LLC is located at 1323 Hamric Dr E Ste A, Oxford, AL 36203. The listed phone number is (256) 365-2416.

What is Jacksonville Internal Medicine And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Jacksonville Internal Medicine And Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2128001) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jacksonville Internal Medicine And Wellness, LLC was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.