Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649845264 Individual Practitioner Male Practitioner

Dr. Jack Osullivan , DO

General Practice • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Osullivan, DO is a certified General Practice practicing in Jacksonville, FL. With approximately 5 years of clinical experience since graduating from Nova Southeastern College Of Osteo Medicine in 2021, Dr. Osullivan delivers high-quality medical care to the local community at 2080 CHILD ST.

Dr. Osullivan maintains professional affiliations with Se Virginia Value Based Care Llc, Mid-Atlantic Post Acute And Long Term Care Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 9025427300
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Medicare Profile & Education

Medical School

Nova Southeastern College Of Osteo Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -20.4 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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Osullivan (5 Years) 5 Yrs
Jacksonville Specialty Average (25.4 Years) 25.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-09-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102207445

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

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Hospital & Practice Group Affiliations

Se Virginia Value Based Care Llc

None, Norfolk, VA 23502

Phone: 7573542885

Mid-Atlantic Post Acute And Long Term Care Pllc

6160 Kempsville Cir, Norfolk, VA 235023933

Phone: 7573542885

Practice Associates & Co-Workers

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

40 Associated Practitioners
Steven Undheim , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003357559
Ramona Greene

Registered Nurse - Medical-Surgical

NPI 1003458787
Dr. Hannah Gould , MD

Military Health Care Provider

NPI 1003665803

Doctor of Medicine (M.D.)

Dr. Ronald Appleby , DMD

Dentist - General Practice

NPI 1003886300

Doctor of Dental Medicine

Debra Wagner , CNM, ARNP

Advanced Practice Midwife

NPI 1013050095

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

NPI 1013653732

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2023

Student in an Organized Health Care Education/Training Program

NPI Profile Active May 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2021

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 9025427300)

📍
Updated Business Mailing Address May 25, 2021

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005

👤
Provider Name / Credentials Updated May 25, 2021

Recorded as JACK OSULLIVAN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2021

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration May 25, 2021

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: 1649845264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2021
Last Update: September 22, 2023
Sole Proprietor: No

Mailing Address

2080 Child St

Jacksonville, FL 322145005

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.