Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jonathan Divine, DO

Individual provider Family Medicine Physician · NPI 1710173968

Jonathan Divine, DO is registered under Family Practice in Jacksonville, Florida. Graduated from West Virginia School of Osteopathic Medicine in 2007, 19 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
19
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
FL
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3059 Edgewood Ave W
Jacksonville, FL 32209-2207
Phone: (904) 647-3180
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS 10858 (FL)

Record details

NPI number1710173968
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 21, 2007
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2007 (19 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of skin lesions 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients247
Services billed 1,417 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Baptist Health Medical Center - Jacksonville Hospital · Jacksonville, FL · listed as Dastagir a Khan MD, PA
  • Ascension St Vincent'S Clay County Hospital · Middleburg, FL
  • Ascension St Vincent'S Riverside Hospital · Jacksonville, FL
  • Ascension St Vincent'S Southside Hospital · Jacksonville, FL

Colleagues at St Vincent's Ambulatory Care Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 302 clinicians in the practice; 12 are shown here.

Other providers in Jacksonville