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CONVIVA GATEWAY
NPI 1982278230
Internal Medicine in Jacksonville, FL

Active since May 19, 2021CLIA 10D2026676 · Waiver
5238-16 NORWOOD AVE, JACKSONVILLE, FL 32208(904) 861-1222(904) 861-2688 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Sep 6, 2022, May 19, 2021 (3 updates tracked since 2021).

About Conviva Gateway NPPES

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

CONVIVA GATEWAY (NPI 1982278230) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Kevin Meriwether, Division President, as its authorized official.

NPPES Registry Identity

NPI1982278230
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT LLC
Location Address5238-16 NORWOOD AVEJacksonville, FL 32208-5005
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(904) 861-1222
Fax(904) 861-2688
Organization SubpartYes
Authorized OfficialKevin MeriwetherDivision President · (305) 500-2000
Enumeration DateMay 19, 2021
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1982278230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
5238-16 NORWOOD AVE, Jacksonville, FL 32208
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Other Names 1

Other NameConviva Gateway

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

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 10D2026676

Conviva Medical Center Management LLC Dba Conviva Care Center · Jacksonville, FL
Active · expires Jul 6, 2027
CLIA Number10D2026676
Laboratory TypeHealth Care Clinic
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorDr. Joselyn Arcelin
Laboratory Phone(904) 861-1222
Laboratory LocationConviva Medical Center Management LLC Dba Conviva Care Center5238-16 Norwood Ave, Jacksonville, FL 32208
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MRS. STELLA RODRIGUEZ BARRIOS M.D.
General Practice
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
JENIFER DERSTINE ARNP
Nurse Practitioner (Family)
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
DR. LULU AMORNMARN M.D., M.P.H.
Internal Medicine (Allergy & Immunology)
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
DR. ROSS EON JONES M.D.
Family Medicine
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
MR. DANIEL STANLEY HUTTO ARNP
Nurse Practitioner (Family)
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222
GERMAN CAMACHO M.D.
General Practice
5238-16 NORWOOD AVE
JACKSONVILLE, FL 32208
Duval County (904) 861-1222

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 Conviva Medical Center Management LLC's NPI number?

The NPI number for Conviva Medical Center Management LLC is 1982278230. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is also known as Conviva Gateway.

Where is Conviva Medical Center Management LLC located?

Conviva Medical Center Management LLC is located at 5238-16 Norwood Ave, Jacksonville, FL 32208. The listed phone number is (904) 861-1222.

What is Conviva Medical Center Management LLC's specialty?

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

Does Conviva Medical Center Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2026676) is associated with this NPI, valid through July 6, 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 Conviva Medical Center Management LLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.