CMS-1500 Box 24J / 33a • NPI
1184305435
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207RI0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
4427 EMERSON ST STE A, JACKSONVILLE, FL, 32207-4969
✓ 9-Digit EDI 837 ZIP+4 (32207-4969)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184305435 (904 HEALTH, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1184305435 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 904 HEALTH, INC |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0200X (Internal Medicine, Infectious Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 4427 EMERSON ST STE A, JACKSONVILLE, FL, 32207-4969 |
| Practice Telephone / Fax | Tel: (904) 659-2475 |
| Administrative Mailing Address | 221 N HOGAN ST STE 118, JACKSONVILLE, FL, 32202-4201 |
| Enumeration & Last Sync | Enumerated: 2023-07-28 | CMS Record Updated: 2025-02-04 |
| Authorized Official | JAMES TARVER (Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RI0200X)
What Does Taxonomy Code 207RI0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (904 HEALTH, INC)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Yes (Primary) |
251K00000X — Public Health or WelfarePlain English: Licensed & Credentialed Agencies — Public Health or Welfare | State: N/A | License: Verified | Primary: Secondary |
261QC1500X — Clinic/Center, Community HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QH0100X — Clinic/Center, Health ServicesPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QP2300X — Clinic/Center, Primary CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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