KESHIA FERGUSON (MD) – Internal Medicine Physician, NPI 1013265222

KESHIA FERGUSON (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. Q9347 (TX). The NPI Number for KESHIA FERGUSON (MD) is 1013265222

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KESHIA FERGUSON (MD)
NPI
1013265222
Phone
(904) 202-1032
Address
PO BOX 44004
Enumeration Date
17 August 2012
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
2393432606
Graduation Year
2024 (2 years ago)
PAC ID
1052533882
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20141112000512
Address ID
FL339083618FO9981XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

449 RHEUMATOLOGY in FL

Provider Addresses for KESHIA FERGUSON (MD)

  • PO BOX 44004

    JACKSONVILLE, FL 322314004

    Phone: (904) 202-1032

    Fax: (904) 348-5627

    Type: Mailing

  • 820 PRUDENTIAL DR STE 304

    CREDENTIALING DEPARTMENT

    JACKSONVILLE, FL 322078205

    Phone: (904) 346-3649

    Fax: (904) 348-5627

    Type: Location

  • 8960 COLONIAL CENTER DR STE 302

    FORT MYERS, FL 339057810

    Phone: (239) 343-9633

    Fax: (239) 343-4015

    Type: Location

  • 820 Prudential Dr Ste 304

    Credentialing Department

    Jacksonville, FL 322078205

    Phone: (904) 346-3649

    Fax: (904) 348-5627

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-9633

    Fax: (239) 343-9633

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,753.

Total Amount is formed as General ($1,753) + Research ($0) + Ownership ($0) = $1,753.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: ABBVIE INC. ($926).

Total Amount

$1,753

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,753

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141112000512IRheumatologyFLTBD
I20160926001881IHospitalistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32231)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335672146View full group profile
NameSpecialtyState
Neurology, Nephrology, PsychiatryFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Cardiovascular Disease (Cardiology)FL
Physician AssistantFL
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Physician AssistantRI

Reviews

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Frequently asked questions

How do payers reference KESHIA FERGUSON (MD)?
For KESHIA FERGUSON (MD), use NPI 1013265222 as the unique 10-digit identifier.
Active or inactive — what applies to KESHIA FERGUSON (MD)?
You should see KESHIA FERGUSON (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for KESHIA FERGUSON (MD)?
At a glance, KESHIA FERGUSON (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KESHIA FERGUSON (MD)?
Travel planning: use Jacksonville, Florida as the reference point for KESHIA FERGUSON (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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