Fountain Family Medicine, PA
NPI 1124228119 · Family Medicine Physician · Jacksonville, FL
Fountain Family Medicine, PA is a Family Medicine Physician organization in Jacksonville, FL (NPI 1124228119).
Provider details
- NPI number
- 1124228119
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leanne Macdonald, Office Manager(904) 262-9075
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2012-08-28
Frequently asked questions
- What is Fountain Family Medicine, PA's NPI number?
- Fountain Family Medicine, PA's National Provider Identifier (NPI) is 1124228119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain Family Medicine, PA?
- Fountain Family Medicine, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fountain Family Medicine, PA located?
- Fountain Family Medicine, PA's practice location on file with NPPES is 11701-32 San Jose Boulevard, Jacksonville, FL 32223.
- What is Fountain Family Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for Fountain Family Medicine, PA is (904) 262-9075.
- Who is the authorized official for Fountain Family Medicine, PA?
- The authorized official listed on Fountain Family Medicine, PA's NPPES record is Leanne Macdonald, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain Family Medicine, PA's NPI active?
- Yes — Fountain Family Medicine, PA's NPI (1124228119) is active in the NPPES registry as of the last update on 2012-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.