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Edward Waters University

Sports Medicine (Family Medicine) Physician in Jacksonville, FL · enumerated 2022 · authorized official Mouzon Bass, Ceo/Administrator.

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

National Provider Identifier

1609596592

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Registry record

Entity type Organization (Type 2)
Legal business name Edward Waters University
Practice address 1658 Kings Rd, Jacksonville, FL, 32209
Phone (972) 367-4845
Fax (972) 367-3451
Enumeration date Aug 31, 2022
Last updated in NPPES Aug 31, 2022

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mouzon Bass
Title Ceo/Administrator
Phone (972) 367-4845

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 is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Edward Waters University?
Edward Waters University is registered in NPPES as a Sports Medicine (Family Medicine) Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-31.