OrganizationActive
Memorial Family Practice Associates, LLC
NPI 1144991753 · Otolaryngology Physician · Orange Park, FL
Provider details
- NPI number
- 1144991753
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Memorial Family Practice Associates, LLC
- Organization subpart
- Yes
- Authorized official
- William Johnson, Vice President(615) 372-3375
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1409 Kingsley Ave Ste 6a
Orange Park, FL 32073-4592
Phone: (904) 639-2270
Street-level locationGet directions
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
- Certified
- 2021-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.