Affirm Direct Primary Care P.A.
NPI 1629811930ActiveOrganization· Family Medicine· Jacksonville, FL
Family Medicine in Jacksonville, Florida, registered in NPPES in June 2024. The authorized official on file is Johnique Bennett, MD, Director.
Overview
| NPI | 1629811930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2024 |
| Last updated in NPPES | Jun 14, 2024 |
| Certified by provider | Jun 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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