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

Dr. Kenneth Joseph Eaddy, MD

Individual provider Internal Medicine Physician · NPI 1154506376

Dr. Kenneth Joseph Eaddy, MD is a Pain Management in Jacksonville, Florida. Graduated from Georgetown University School of Medicine in 2006, 20 years ago. Practices with Florida Pain Relief Group PLLC, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Trained at
Georgetown University School of Medicine
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11705 San Jose Blvd Ste 110
Jacksonville, FL 32223-1653
Phone: (904) 495-7976
Fax: (904) 683-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1731 Wells Rd Ste 100, Orange Park, FL 32073-2322 — (904) 495-7993

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence ME107723 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME107723 (FL)

Record details

NPI number1154506376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 7, 2008
Last updated in NPPESJuly 4, 2026
Certification dateJuly 4, 2026

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Florida Pain Relief Group Pllc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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