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

Jordan Micah Phelps, DO

Individual provider Family Medicine Physician · NPI 1861952376

Jordan Micah Phelps, DO is a Family Practice in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Physicians Group Services PA, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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

14011 Beach Blvd Ste 120
Jacksonville, FL 32250-1695
Phone: (904) 223-6400
Fax: (833) 578-1820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1147 Nw 64th Ter, Gainesville, FL 32605-4218 — (352) 333-5152

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS19877 (FL)

Record details

NPI number1861952376
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Physicians Group Services Pa — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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