Individual provider Active NPI

Maria Elana Mora, M.D.

  • Pediatrics Physician
  • Green Cove Springs, FL
National Provider Identifier
1043238132
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0065318 Issued in FL
Practice address
91 Branscomb Rd Ste 3
Green Cove Springs, FL 32043-7222
Phone
(904) 861-1034
Fax
(904) 861-1037
NPI assigned
Jul 17, 2006
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0065318 FL Primary

Addresses

Primary practice location

91 Branscomb Rd Ste 3
Green Cove Springs, FL 32043-7222

Mailing address

91 Branscomb Rd Ste 3
Green Cove Springs, FL 32043-7222
Phone (904) 861-1034

Other identifiers 1

IdentifierTypeStateIssuer
374487600MedicaidFL

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
I20100326000729 FL Practitioner - Pediatric Medicine 1456487669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

91 Branscomb Rd
Green Cove Springs, FL 32043-7222
Phone (904) 861-1035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0065318FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria E Mora MD PA Pediatrics CurrentSince Jan 19, 2010 Accepting new patients
Physicians Group Services PA Pediatrics Past Accepting new patients

Locations

91 Branscomb Rd
Ste 3
Green Cove Springs, FL 32043
Phone (904) 861-1034

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1043238132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BRANSCOMB RD STE 3",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437222",
            "telephone_number": "904-861-1034",
            "fax_number": "904-861-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BRANSCOMB RD STE 3",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437222",
            "telephone_number": "904-861-1034",
            "fax_number": "904-861-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "MARIA",
        "middle_name": "ELANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374487600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

Verify at the official NPI Registry.