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NPI · 1093708125 · NPPES-sourced

Dr. Thomas Connolly Md05/25

ActiveAdolescent Medicine
NPI Number
1093708125
Type 1 · Individual
Taxonomy Code
2080A0000X
Contact
(904) 387-6200
License FL · ME 85592
Last Updated
Enumerated
Primary practice addressFL · 32204-3811
2121 Park StJacksonville, FL 32204-3811
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About this NPIWhat this record shows.

NPI 1093708125 is registered to Dr. Thomas Connolly Md05/25, a Adolescent Medicine practising at 2121 Park St in Jacksonville, Florida. Adolescent Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Thomas Connolly Md05/25 has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Thomas Connolly Md05/25 accepts. To confirm in-network status with your specific health plan, contact Dr. Thomas Connolly Md05/25 directly at (904) 387-6200.

Frequently asked

Yes. NPI 1093708125 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adolescent Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (904) 387-6200.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Thomas Connolly Md05/25 is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2080A0000X
Last updated
Enumerated
StatusActive
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