Edward Waters University
NPI 1609596592 · Sports Medicine (Family Medicine) Physician · Jacksonville, FL
Edward Waters University is a Sports Medicine (Family Medicine) Physician organization in Jacksonville, FL (NPI 1609596592).
Provider details
- NPI number
- 1609596592
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Ceo/Administrator(972) 367-4845
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
3 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
Other names (DBA / former)
- Doing business as
- Ewc Sports Medicine
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2022-08-31
- Certified
- 2022-08-29
Frequently asked questions
- What is Edward Waters University's NPI number?
- Edward Waters University's National Provider Identifier (NPI) is 1609596592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edward Waters University?
- Edward Waters University is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Waters University located?
- Edward Waters University's practice location on file with NPPES is 1658 Kings Rd, Jacksonville, FL 32209-6167.
- What is Edward Waters University's phone number?
- The practice phone number listed in the NPPES registry for Edward Waters University is (972) 367-4845.
- Who is the authorized official for Edward Waters University?
- The authorized official listed on Edward Waters University's NPPES record is Mouzon Bass, Ceo/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edward Waters University's NPI active?
- Yes — Edward Waters University's NPI (1609596592) is active in the NPPES registry as of the last update on 2022-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.