| Connect Rpm LLC | |
|
90 Fort Wade Rd Ste 100 Ponte Vedra FL 32081-5114 | |
| (904) 567-6449 | |
| Not Available |
| Full Name | Connect Rpm LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 90 Fort Wade Rd Ste 100, Ponte Vedra, Florida |
| Authorized Official Name and Position | Sean Hynds (CEO) |
| Authorized Official Contact | 3058072485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Rpm LLC 90 Fort Wade Rd Ste 100 Ponte Vedra FL 32081-5114 Ph: (904) 567-6449 | Connect Rpm LLC 90 Fort Wade Rd Ste 100 Ponte Vedra FL 32081-5114 Ph: (904) 567-6449 |
| NPI Number | 1801780069 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 06/04/2026 |
| Certification Date | 06/04/2026 |
| Medicare PECOS PAC ID | 1850870213 |
|---|---|
| Medicare Enrollment ID | O20260206001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801780069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Jenivieve Marie Mediavilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376391433 PECOS PAC ID: 1052857497 Enrollment ID: I20240722004133 |
| Provider Name | Alexis Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922688225 PECOS PAC ID: 3375016728 Enrollment ID: I20260626000438 |
Nabr Medical Group PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4210 Valley Ridge Blvd Ste 131, Ponte Vedra, FL 32081 Phone: 866-687-6227 Fax: 866-687-6227 |
Lyerly Baptist Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081 Phone: 904-202-1795 Fax: 904-376-3478 |
Blue Water Health and Wellness LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 Phone: 904-595-2583 Fax: 904-595-2584 |
Ryan Griffin, MD LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 Canal Blvd, Suite 2, Ponte Vedra, FL 32082 Phone: 904-395-3041 Fax: 904-834-7276 |
Baptist Primary Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081 Phone: 904-824-1020 Fax: 904-390-7503 |
Sol Renewed Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 Stately Shoals Trl, Ponte Vedra, FL 32081 Phone: 302-893-5031 |