Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jeremy Shawn Mirabile, M.D. ABPM-ADM, FASAM

Addiction Medicine (Family Medicine) Physician in Ponte Vedra Beach, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295749968

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Registry record

Entity type Individual (Type 1)

Name Dr. Jeremy Shawn Mirabile

Credential M.D. ABPM-ADM, FASAM

Sex Male

Practice address 1030 A1a N, Ponte Vedra Beach, FL, 32082

Phone (904) 551-1394

Fax (888) 770-4284

Enumeration date Jul 28, 2006

Last updated in NPPES Aug 30, 2024

Taxonomy & licenses

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License ME88707 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jeremy Mirabile?

Jeremy Mirabile is registered in NPPES with the primary taxonomy of Addiction Medicine (Family Medicine) Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-30.