Individual provider Active NPI

Samia Jackson, APRN

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1013565811
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11002840 Issued in FL
Practice address
14444 Beach Blvd Ste 28
Jacksonville, FL 32250-2080
Phone
(904) 367-2277
Fax
(904) 421-3788
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002840 FL
Primary Care Nurse Practitioner 363LP2300X APRN11002840 FL Primary

Addresses

Primary practice location

14444 Beach Blvd Ste 28
Jacksonville, FL 32250-2080

Mailing address

1633 Race Track Rd Ste 101
St Johns, FL 32259-3237
Phone (904) 230-6988

Other practice location 1

4160 Southside Blvd Ste 10
Jacksonville, FL 32216-8500
Phone (904) 900-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000174 FL Practitioner - Nurse Practitioner 7911332994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

Practice addresses (Care Compare)

4160 Southside Blvd
Suite 10
Jacksonville, FL 32216-8500
Phone (904) 900-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11002840FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Carenow Urgent Care, LLC CurrentSince Mar 16, 2026 Accepting new patients
Avecina Medical PA CurrentSince Nov 1, 2022 Accepting new patients
Avecina Medical, PA CurrentSince Nov 1, 2022 Accepting new patients
Family Care Partners Urgent Care, LLC Past Accepting new patients

Locations

4160 Southside Blvd
Ste 10
Jacksonville, FL 32216
Phone (904) 900-1717

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1013565811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 RACE TRACK RD STE 101",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593237",
            "telephone_number": "904-230-6988",
            "fax_number": "904-342-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 BEACH BLVD STE 28",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502080",
            "telephone_number": "904-367-2277",
            "fax_number": "904-421-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Southside Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168500",
            "country_code": "US",
            "telephone_number": "904-900-1717",
            "fax_number": "904-367-2143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SAMIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002840",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11002840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.