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Export Provider Record NPI 1144290677
Jerry Richard FoltzMD
Active
NPI Number1144290677
NPI TypeNPI-1 Individual
SpecialtyPain Medicine, Interventional Pain Medicine
Provider Details
NPI1144290677
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-01-26
Last Updated2019-09-25
Mailing AddressPo Box 734905
Dallas, TX 75373-4905
United States
Phone: (904) 449-7246 | Fax: (904) 719-7571
📍 View Map
Primary Practice Address4796 Hodges Blvd, Suite 101-104
Jacksonville, FL 32224
United States
Phone: (904) 449-7246 | Fax: (904) 719-7571
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL100386600
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207LP2900X – Anesthesiology, Pain MedicineFLME 95194
Yes208VP0014X – Pain Medicine, Interventional Pain MedicineFLME95194
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About NPI 1144290677

Jerry Richard Foltz MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1144290677. The primary specialty listed is Pain Medicine, Interventional Pain Medicine. The provider is located in Jacksonville, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1144290677?

NPI 1144290677 belongs to Jerry Richard Foltz MD, a Pain Medicine, Interventional Pain Medicine in Jacksonville, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1144290677 active?

The current status of NPI 1144290677 in the NPPES registry is Active. The record was last updated on 2019-09-25.

What specialty is NPI 1144290677?

NPI 1144290677 is classified under the taxonomy Pain Medicine, Interventional Pain Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1144290677?

You can verify NPI 1144290677 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1144290677?

The primary practice address on file for NPI 1144290677 is 4796 Hodges Blvd, Jacksonville, FL 32224. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1144290677 issued?

NPI 1144290677 was first issued (enumerated) on 2006-01-26. The NPPES record was last updated on 2019-09-25.

Practice Location Map

Jerry Richard Foltz is located at 4796 Hodges Blvd, Jacksonville, FL. Use the map below to find directions or verify the practice location.

📍 4796 Hodges Blvd, Jacksonville, FL 32224  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jerry Richard Foltz. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1144290677. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Anesthesiology, Pain MedicineME 95194FL
Pain Medicine, Interventional Pain MedicineME95194FL
Data Verified from CMS NPPES Last synced: 2026-07-03 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162