NPIMap

Individual provider Active NPI

Brian Christopher Creghan I, PA-C

  • Medical Physician Assistant
  • Hawthorne, FL
National Provider Identifier
1023138708
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101067 Issued in FL
Practice address
21815 SE 71St Ave
Hawthorne, FL 32640-3974
Phone
(352) 481-5700
Fax
(352) 481-5750
NPI assigned
Mar 29, 2007
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101067 FL
Medical Physician Assistant 363AM0700X PA9101067 FL Primary
Medical Physician Assistant 363AM0700X PA-128 GU

Addresses

Primary practice location

21815 SE 71St Ave
Hawthorne, FL 32640-3974

Mailing address

2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198
Phone (904) 797-5740

Other names 1

  • Dr. Brian Christopher Creghan I Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, GU3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070814000064 FL Practitioner - Physician Assistant 8022037308 Reassigns benefits to 2 organizations
I20220302001179 TX Practitioner - Physician Assistant 8022037308 Reassigns benefits to 2 organizations
I20221216001260 GU Practitioner - Physician Assistant 8022037308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

21815 SE 71St Ave
Island Doctors Hawthorne
Hawthorne, FL 32640-3974
Phone (352) 481-5700

7625 SW 62ND CT
Suite 100
Ocala, FL 34476-8322
Phone (352) 237-8903

811 N Summit St
Island Doctors Crescent City
Crescent City, FL 32112-2191
Phone (386) 698-2101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101067FLMDPhysician Assistant
PA-128GUMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alistair Co, PLLC Past Accepting new patients
Open Arms Medical Center at PastSince Jun 1, 2011 Accepting new patients
Ipn Emergency Physicians of North Florida PA Physician Assistant Past Accepting new patients
Chattanooga Rehabilitation Associates, PC Past Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients
Chattanooga Spine & Rehabilitation PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBHAED/Endpoint/EBHAED

Organizations & group practices 12

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1023138708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864198",
            "telephone_number": "904-797-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21815 SE 71ST AVE",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326403974",
            "telephone_number": "352-481-5700",
            "fax_number": "352-481-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGHAN",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101067",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101067",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GU",
            "license": "PA-128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "CREGHAN",
            "middle_name": "CHRISTOPHER",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hawthorne, FL

Sources for this page

Verify at the official NPI Registry.