Jefferson R Edwards (NPI# 1518925395, PAC ID# 6800921131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1518925395 |
| PAC ID by PECOS | 6800921131 |
| Professional Enrollment ID | I20100311000948 |
| Full Name | Jefferson R Edwards |
| Organization Legal Name | NORTH FLORIDA SURGEONS PA |
| Address |
14540 Old Saint Augustine Rd Suite 2571 Jacksonville FL 32258-7420 |
| Phone Number | 9048862251 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2769381391 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7420 | 9048862251 | NORTH FLORIDA SURGEONS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTH FLORIDA SURGEONS PA |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Lynn Kammerdiener | Ophthalmology | North Florida Surgeons Pa | 714 Stockton St, Jacksonville, FL 32204-3402 |
| Edward A Collier Ii | Nurse Practitioner | North Florida Surgeons Pa | 600 E Government St, Pensacola, FL 32502-6136 |
| Francis A Chrzanowski Jr. | Colorectal Surgery (proctology) | North Florida Surgeons Pa | 1617 King St, Jacksonville, FL 32204-4563 |
| John Mitchell Vassallo | Ophthalmology | North Florida Surgeons Pa | 3780 Us Hwy 1 S, St Augustine, FL 32086-7150 |
| Norman A Jones | General Surgery | North Florida Surgeons Pa | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 |
| Garrett A Hauptman | Otolaryngology | North Florida Surgeons Pa | 7135 Nw 11th Place, Suite A, Gainesville, FL 32605-3143 |
| Mcgregor N Lott | Ophthalmology | North Florida Surgeons Pa | 224 Ponte Vedra Park Dr, Suite 300, Ponte Vedra Beach, FL 32082-6604 |
| John D Brinkman | General Surgery | North Florida Surgeons Pa | 1658 St Vincents Way, Suite 210, Middleburg, FL 32068-8459 |
| Richard D Curtis | Orthopedic Surgery | North Florida Surgeons Pa | 1715 Eagle Harbour Pkwy, Suite A, Fleming Island, FL 32003-4324 |
| Agnes David | General Surgery | North Florida Surgeons Pa | 1370 13th S Ave, Suite 119, Jacksonville Beach, FL 32250-3206 |
| Street Address |
14540 OLD SAINT AUGUSTINE RD SUITE 2571 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32258-7420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Ziewai Wu | Psychiatry | Baptist Behavioral Health LLC | 14540 Old Saint Augustine Rd, Suite 2591, Jacksonville, FL 32258-7420 |
| Benjamin M Piperno | General Surgery | North Florida Surgeons Pa | 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7420 |
| Matthew T Smith | General Surgery | North Florida Surgeons Pa | 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7420 |
| Caitlin E D'souza | Neurology | Baptist Neurology Inc | 14540 Old Saint Augustine Rd, Suite 2599, Jacksonville, FL 32258-7420 |
| Cameron David Adkisson | General Surgery | North Florida Surgeons Pa | 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7420 |
| Joseph W Parks | Plastic and Reconstructive Surgery | North Florida Surgeons Pa | 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7420 |
| Youssef Nejjar | Neurology | Baptist Neurology Inc | 14540 Old Saint Augustine Rd, Suite 2599, Jacksonville, FL 32258-7420 |
| Saneha R Goyal | Psychologist, Clinical | Baptist Behavioral Health LLC | 14540 Old Saint Augustine Rd, Suite 2591, Jacksonville, FL 32258-7420 |
| Alyssa A Paetau | General Surgery | North Florida Surgeons Pa | 14540 Old Saint Augustine Rd, Suite 2571, Jacksonville, FL 32258-7420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily A Poland | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Kevin M Comar | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Jennifer L Madden | Hand Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Richard A Picerno Ii | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Gregory Solis | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Phillip Michael Bell | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Scott Cooper | Gastroenterology | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Lauren Elizabeth Kessenich | Nurse Practitioner | Borland-groover Clinic Pa | 14540 Old St Augustine Rd, Suite 2207, Jacksonville, FL 32258 |
| Brandon J Kambach | Orthopedic Surgery | Jacksonville Orthopaedic Institute Inc | 14540 Old St Augustine Rd, Suite 2201, Jacksonville, FL 32258 |
| Julia Holsomback | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 11481 Old Saint Augustine Rd, Suite 101, Jacksonville, FL 32258-1474 |
| Find all physicians in zip 32258 | |||
| City | JACKSONVILLE |
| Zip Code | 32258 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JACKSONVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jefferson R Edwards.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.