NORTHSIDE MEDICAL CLINIC
NPI 1730378043
General Practice in Jacksonville, FL
About Northside Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSIDE MEDICAL CLINIC (NPI 1730378043) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since October 2007. The organization lists Sharon Minger Wilson, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northside Medical Clinic 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 Northside Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Donald S Freedman MD PA's NPI number?
The NPI number for Donald S Freedman MD PA is 1730378043. It was assigned to this organization in the NPPES registry on October 23, 2007. The provider is doing business as Northside Medical Clinic.
Where is Donald S Freedman MD PA located?
Donald S Freedman MD PA is located at 480 Busch Dr, Jacksonville, FL 32218. The listed phone number is (904) 764-5000.
What is Donald S Freedman MD PA's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Donald S Freedman MD PA enrolled in Medicare?
Yes. Donald S Freedman MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Donald S Freedman MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Donald S Freedman MD PA. 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 Donald S Freedman MD PA was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Northside Medical Clinic · NPI 1730378043
General Practice organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1730378043 (Entity type: Organization)
- **Enumerated:** October 23, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Donald S Freedman Md Pa
- **Organization subpart:** No
- **Authorized official:** Sharon Wilson, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 480 BUSCH DR, Jacksonville, FL 32218-5553
- **Phone:** (904) 764-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2008
- **Other identifiers:** Medicare PIN 02690 (FL); Other 62840 (FL); Medicare UPIN B57981 (FL); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1730378043) · Data from the CMS NPPES public registry.