AMD PRIMARY CARE
NPI 1730682808
Family Medicine in Orange Park, FL

Q: What is Adesso Professional Services LLC's NPI number?

The NPI number for Adesso Professional Services LLC is 1730682808. It was assigned to this organization in the NPPES registry on March 14, 2018. The provider is doing business as Amd Primary Care.

Q: What is Adesso Professional Services LLC's specialty?

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

Active since March 14, 2018

1202 KINGSLEY AVE, ORANGE PARK, FL 32073(877) 228-1221(877) 842-4020 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2018, Oct 9, 2018, Jun 16, 2018 and 2 more (5 updates tracked since 2018).

On this page

About Amd Primary Care NPPES

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

AMD PRIMARY CARE (NPI 1730682808) is a healthcare organization registered as a family medicine in Orange Park, Florida and active in the NPI registry since March 2018. The organization lists Maria D Maynoldi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730682808

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameADESSO PROFESSIONAL SERVICES LLC

Location Address1202 KINGSLEY AVEOrange Park, FL 32073-4632

Mailing Address5000-18 Us Hwy 17 S, # 241Fleming Island, FL 32003 · (877) 228-1221 · Fax (877) 842-4020

Phone(877) 228-1221

Fax(877) 842-4020

Organization SubpartNo

Authorized OfficialMaria D MaynoldiAdministrator · (904) 579-4766

Enumeration DateMarch 14, 2018

Last NPPES UpdateNovember 13, 20185 updates tracked since enumeration

✔ NPI 1730682808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME130811

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.

1202 KINGSLEY AVE, Orange Park, FL 32073

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Other Names 1

Doing Business AsAmd Primary Care

Other Identifiers 2

Other1144591249FL · David Maynoldi Md Npi #

OtherME130811FL · David Maynoldi's Fl Med Lic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Amd Primary Care 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 Amd Primary Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Maynoldi, M.D.

Family Practice

NPI 1144591249

1202 KINGSLEY AVE
Orange Park, FL 32073

(877) 842-4020

✔ 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 Adesso Professional Services LLC's NPI number?

The NPI number for Adesso Professional Services LLC is 1730682808. It was assigned to this organization in the NPPES registry on March 14, 2018. The provider is doing business as Amd Primary Care.

Where is Adesso Professional Services LLC located?

Adesso Professional Services LLC is located at 1202 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (877) 228-1221.

What is Adesso Professional Services LLC's specialty?

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

Is Adesso Professional Services LLC enrolled in Medicare?

Yes. Adesso Professional Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adesso Professional Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Adesso Professional Services LLC. 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 Adesso Professional Services LLC was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.