Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104272335 Individual Practitioner Male Practitioner

Dr. Alan Ekanem , MD

General Practice • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alan Ekanem, MD is a certified General Practice practicing in Jacksonville, FL. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Ekanem delivers high-quality medical care to the local community at 1028 DUNN AVE.

Dr. Ekanem is affiliated with Conviva Medical Center Management, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, adm sarscov2 vac ad26 .5ml, adm sarscov2 50mcg/0.25mlbst. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1028 Dunn Ave

Jacksonville, FL 322184830

Telephone 9047667606
Fax 9047667679
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +2.6 yrs vs City Avg
City Avg: 25.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
84 Specialists

Practicing in Jacksonville, FL (2490 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ekanem (28 Years) 28 Yrs
Jacksonville Specialty Average (25.4 Years) 25.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 14 $220.00 $124.88

Medical Specialties & State Licenses

CMS Verified: 2026-02-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN891

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 19424

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Conviva Medical Center Management, Llc

1028 Dunn Ave, Jacksonville, FL 322184830

Phone: 9047667606

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1609618743

Doctor of Medicine (M.D.)

Dr. Obioma Esomonu , MD

General Practice

NPI 1679926687

Doctor of Medicine (M.D.)

Natasha Washington , APRN

Nurse Practitioner - Family

NPI 1700385937

Advanced Practice Registered Nurse

Natasha Ingram , ARNP, FNP-C

Nurse Practitioner - Family

NPI 1922572023

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

General Practice (License #19424 in PR)

📍
Updated Practice Location August 31, 2020

Registered at 1028 DUNN AVE, JACKSONVILLE, FL 322184830 (Tel: 9047667606)

📍
Updated Business Mailing Address August 31, 2020

Registered at 6101 BLUE LAGOON DR STE 400, MIAMI, FL 331262051 (Tel: 3055002000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

General Practice (License #ACN891 in FL)

📍
Updated Practice Location July 25, 2018

Registered at 2460 OLD MOULTRIE RD STE 5, ST AUGUSTINE, FL 32086 (Tel: 9047975740)

📍
Updated Business Mailing Address July 25, 2018

Registered at 2460 OLD MOULTRIE RD STE 5, ST AUGUSTINE, FL 320864198 (Tel: 9544949621)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

General Practice (License #19424 in PR)

NPI Profile Active July 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2017

Registered at 2460 OLD MOULTRIE RD STE 5, ST AUGUSTINE, FL 320864198 (Tel: 9047975740)

📍
Updated Business Mailing Address July 03, 2017

Registered at 11902 SW 13TH CT, DAVIE, FL 333253819 (Tel: (954) 494-9621)

👤
Provider Name / Credentials Updated July 03, 2017

Recorded as ALAN EKANEM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2017

General Practice (License #ACN891 in FL)

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2016

Registered at 11902 SW 13TH CT, DAVIE, FL 333253819 (Tel: 9544949621)

📍
Updated Business Mailing Address August 02, 2016

Registered at 11902 SW 13TH CT, DAVIE, FL 333253819 (Tel: 9544949621)

👤
Provider Name / Credentials Updated August 02, 2016

Recorded as ALAN EKANEM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

General Practice (License #19424 in PR)

🟢
Initial NPI Registration & Enumeration May 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104272335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2016
Last Update: February 12, 2026
Sole Proprietor: No

Mailing Address

6101 Blue Lagoon Dr Ste 400

Miami, FL 331262051

Phone: 3055002000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.