Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassaundra Thompson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124569215

Cassaundra Thompson is a Family Practice in Jacksonville, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4205 Belfort Rd Ste 3075
Jacksonville, FL 32216-1475
Phone: (904) 296-5785
Fax: (904) 296-4786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 169 Riverside Dr, Binghamton, NY 13905-4246 — (607) 798-5111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS16518 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124569215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2017
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020
Mailing address4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2017 (9 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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