Individual provider Active NPI

Joann G Acuna, MD

  • Maternal & Fetal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1033189014
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD93989 Issued in FL
Practice address
836 Prudential Dr Ste 1800
Jacksonville, FL 32207-8345
Phone
(904) 398-7684
Fax
(904) 398-4998
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MD93989 FL Primary

Addresses

Primary practice location

836 Prudential Dr Ste 1800
Jacksonville, FL 32207-8345

Mailing address

836 Prudential Drive, Suite 1800
Jacksonville, FL 32207
Phone (904) 398-7684

Other identifiers 1

IdentifierTypeStateIssuer
101320894MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000532 FL Practitioner - Obstetrics/Gynecology 5597794610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrix Medical Group of Florida IncGroup PAC ID 4486634417, 37 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

13241 Bartram Park Blvd
Unit 1017
Jacksonville, FL 32258-5234
Phone (904) 423-2670

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD93989FLMDMaternal & Fetal Medicine Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Maternal & Fetal Medicine CurrentSince Mar 24, 2013 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Jul 1, 2013 Accepting new patients
OB-GYN of Lancaster Inc Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

8890 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 481-5477

836 Prudential Dr
Ste 1800
Jacksonville, FL 32207
Phone (904) 398-7684

13241 Bartram Park Blvd
Unit 1017
Jacksonville, FL 32258
Phone (904) 260-2001

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1771 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 516-1000

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1033189014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DRIVE, SUITE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-398-7684",
            "fax_number": "904-398-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR STE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078345",
            "telephone_number": "904-398-7684",
            "fax_number": "904-398-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUNA",
        "first_name": "JOANN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "MD93989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101320894",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.