Individual Healthcare Provider
Jeremy Shawn Mirabile, M.D. ABPM-ADM, FASAM
Provider's NPPES record last updated: August 30, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1295749968
- Primary Specialty
- Family Medicine — Addiction Medicine
- Practice Location
- Ponte Vedra Beach, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 8:52 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Taxonomy code 207QA0401X
Provider-Reported License Information
- Family Medicine (Florida)
- ME88707
Practice Locations
Practice Location
1030 A1a N
Ponte Vedra Beach, Florida 32082-4019
Phone: (904) 551-1394
Additional Practice Location
6100 Greenland Rd
Suite 201
Jacksonville, Florida 32258
Phone: (904) 551-1394
Fax: (888) 770-4284
Additional Practice Location
1106 A1a N Ste 201a
Ponte Vedra Beach, Florida 32082-4097
Phone: (904) 551-1394
Record Information
- Enumeration Date
- July 28, 2006
- Provider's NPPES Record Last Updated
- August 30, 2024
- Certification Date
- August 30, 2024
- NPISignal NPPES Dataset
- August 2026
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