JULINGTON CREEK PEDIATRICS (NPI# 1891188173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891188173 |
| Entity Type | Organization |
| Organization Name | JULINGTON CREEK PEDIATRICS |
| Practice Address |
774 State Road 13 Ste 6 Jacksonville FL 32259-3815 |
| Practice Telephone | 9042305437 |
| Mailing Telephone | 9042305437 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | LISA ANN BENEDICT (BILLING MANAGER) |
| Authorized Official Telephone | 9042305437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | NE74170 | FL | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902124522 | Julington Creek Pediatrics | Specialist | 774 State Road 13, Suite 6, Saint Johns, FL 32259-3857 | 2010-05-06 |
| Street Address |
774 STATE ROAD 13 STE 6 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32259-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904571 | Ayla Rose Yarbrough | Chiropractor | 1620 County Road 210, St. Johns County, FL 32259 | 2020-02-19 |
| 1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
| 1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
| 1609425826 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 | 2019-09-10 |
| 1518438936 | Yazji Pediatric Care | Pediatrics | 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 | 2018-12-11 |
| 1003328022 | Abundant Life Health Center LLC | Chiropractor | 254 Everest Lane, St. Johns, FL 32259 | 2017-10-31 |
| 1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
| 1366986861 | Taylor Leard | Physician Assistant | 2001 County Rd 210, Suite 101, St. Johns, FL 32259 | 2016-12-19 |
| 1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
| 1598114233 | Bright Smiles Pediatric Dentistry, Pllc | Dentist | 196 Everest Ln Unit 1, Saint Johns, FL 32259 | 2016-06-03 |
| Find all providers in zip 32259 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760881163 | First Coast Medical Associates LLC | Preferred Provider Organization | 13241 Bartram Park Blvd Unit 413, Jacksonville, FL 32258-5237 | 2014-08-21 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1124195573 | Lakeshore Medical Care Center, Inc | Preferred Provider Organization | 4616 San Juan Ave, Jacksonville, FL 32210-3228 | 2006-11-29 |
| 1487737441 | Midtown Dental of Jacksonville | Preferred Provider Organization | 2801 Saint Johns Bluff Rd S, Suite 1, Jacksonville, FL 32246-3761 | 2006-10-23 |
| 1609241918 | Lysandro O. Tapnio Dmd Pa | Preferred Provider Organization | 9272 Arlington Expy, Jacksonville, FL 32225-8212 | 2015-12-11 |
| 1306189683 | T & R Inc | Preferred Provider Organization | 4131 University Blvd S Ste 4a, Jacksonville, FL 32216-4322 | 2013-04-04 |
| 1922361732 | Psi Family Services, Inc. | Preferred Provider Organization | 3890 Dunn Ave, 1104, Jacksonville, FL 32218-6428 | 2012-06-18 |
| 1932475167 | Medsports Promassage | Preferred Provider Organization | 3491 Pall Mall Dr, Suite 104, Jacksonville, FL 32257-5449 | 2012-04-02 |
| 1992019640 | Live Well M.d. | Preferred Provider Organization | 11512 Lake Mead Ave, Building 521, Jacksonville, FL 32256-9680 | 2010-08-04 |
| 1487891859 | Lymphedema Care Center of North Florida, Inc. | Preferred Provider Organization | 8563 Argyle Business Loop, Suite #2, Jacksonville, FL 32244-6668 | 2009-01-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32259 |
Please comment or provide details below to improve the information on JULINGTON CREEK PEDIATRICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.