PRECISION PHYSICIAN GROUP LLC
NPI 1780489617
Nurse Practitioner in Fleming Island, FL

Q: What is Precision Physician Group LLC's NPI number?

The NPI number for Precision Physician Group LLC is 1780489617. It was assigned to this organization in the NPPES registry on February 14, 2025.

Q: What is Precision Physician Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 14, 2025

1540 BUSINESS CENTER DR STE A, FLEMING ISLAND, FL 32003(904) 481-5555(904) 341-5760 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2025, Jun 3, 2025, Feb 14, 2025 (3 updates tracked since 2025).

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About Precision Physician Group Llc NPPES

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

PRECISION PHYSICIAN GROUP LLC (NPI 1780489617) is a healthcare organization registered as a nurse practitioner in Fleming Island, Florida and active in the NPI registry since February 2025. The organization lists Joshua Hammond, Director, as its authorized official.

NPPES Registry Identity

NPI1780489617

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePRECISION PHYSICIAN GROUP LLC

Location Address1540 BUSINESS CENTER DR STE AFleming Island, FL 32003-4419

Mailing Address4500 Salisbury Rd Ste 200Jacksonville, FL 32216-0974 · (904) 481-5555 · Fax (904) 341-5760

Phone(904) 481-5555

Fax(904) 341-5760

Organization SubpartNo

Authorized OfficialJoshua HammondDirector · (843) 384-3512

Enumeration DateFebruary 14, 2025

Last NPPES UpdateJune 9, 20253 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1780489617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

1540 BUSINESS CENTER DR STE A, Fleming Island, FL 32003

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Precision Physician Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Precision Physician Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Brandon Runyan, M.D.

Diagnostic Radiology

NPI 1225012198

725 JESSE JEWELL PKWY SE
Gainesville, GA 30501

(770) 535-9391

✔ PECOS✔ Accepts Medicare314 mi

Amy Nelson, ARNP

Nurse Practitioner

NPI 1942528104

74785 US HIGHWAY 111 STE 100
Indian Wells, CA 92210

(760) 776-8989

✔ PECOS2,042 mi

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 Precision Physician Group LLC's NPI number?

The NPI number for Precision Physician Group LLC is 1780489617. It was assigned to this organization in the NPPES registry on February 14, 2025.

Where is Precision Physician Group LLC located?

Precision Physician Group LLC is located at 1540 Business Center Dr Ste A, Fleming Island, FL 32003. The listed phone number is (904) 481-5555.

What is Precision Physician Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Precision Physician Group LLC enrolled in Medicare?

Yes. Precision Physician Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Precision Physician Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Precision Physician Group LLC, in Diagnostic Radiology and Nurse Practitioner. 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 Precision Physician Group LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.