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MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
NPI 1831851658
Obstetrics & Gynecology - Obstetrics in Jacksonville, FL

Active since October 08, 2021
11876 ATLANTIC BLVD, JACKSONVILLE, FL 32225(904) 916-0640 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 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 1831851658) is a healthcare organization registered as an obstetrics in Jacksonville, Florida and active in the NPI registry since October 2021. The organization lists William Tedrick Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1831851658
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameMEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
Location Address11876 ATLANTIC BLVDJacksonville, FL 32225-2918
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 372-5426
Phone(904) 916-0640
Organization SubpartYes
Authorized OfficialWilliam Tedrick JohnsonVice President · (615) 372-3375
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1831851658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
11876 ATLANTIC BLVD, Jacksonville, FL 32225
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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

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

MEMORIAL HEALTHCARE GROUP INC
Clinic/Center
11876 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 998-5026

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 1831851658. It was assigned to this organization in the NPPES registry on October 8, 2021.

Where is Memorial Family Practice Associates, LLC located?

Memorial Family Practice Associates, LLC is located at 11876 Atlantic Blvd, Jacksonville, FL 32225. The listed phone number is (904) 916-0640.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

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 October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.