Active NPI
Ashleigh Elizabeth Maya, PA-C
- Physician Assistant
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9119380
- Practice address
- 45 Groover Loop Ste 201
St Augustine, FL 32086-6586 - Phone
- (904) 634-0640
- Fax
- (904) 634-0203
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119380 | FL | Primary |
Addresses
Primary practice location
45 Groover Loop Ste 201
St Augustine, FL 32086-6586
Mailing address
4565 US Highway 17 Ste 200
Fleming Island, FL 32003-4823
Phone (904) 634-0640
Other practice location 1
2300 Park Ave Ste 206
Orange Park, FL 32073-5573
Phone (904) 634-0640
Other practice location 2
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Phone (904) 634-0640
Other practice location 3
4565 US Highway 17 Ste 200
Fleming Island, FL 32003-4823
Phone (904) 634-0640
Other practice location 4
2627 Riverside Ave Ste 300
Jacksonville, FL 32204-4717
Phone (904) 634-0640
Other practice location 5
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 32256-5004
Phone (904) 634-0640
Other practice location 6
2110 Herschel St
Jacksonville, FL 32204-3820
Phone (904) 634-0640
Other practice location 7
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 32223-8800
Phone (904) 634-0640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124476900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Nova Southeastern College of Osteo Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
10475 Centurion Pkwy N
Jacksonville, FL 32256-5004
Phone (904) 634-0640
1200 Lexington Green LN
Sanford, FL 32771-1013
300 Saint Elizabeth Way
Suite 210
St Johns, FL 32259-1153
Phone (904) 634-0640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients |
Locations
4565 US Highway 17
Ste 200
Fleming Island, FL 32003
Phone (904) 630-0640
6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216
2110 Herschel St
Jacksonville, FL 32204
Phone 9043560835231
4268 Oldfield Crossing Dr
Ste 201
Jacksonville, FL 32223
Phone (904) 630-0640
2627 Riverside Ave
Ste 300
Jacksonville, FL 32204
Phone (904) 634-0460
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
2300 Park Ave
Ste 206
Orange Park, FL 32073
Phone (904) 278-4274
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082
Phone (904) 285-7546
45 Groover Loop
Unit 201
St Augustine, FL 32086
Phone (904) 634-0604
Interoperability endpoints
- ashleigh.maya.1@22724.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1538952379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1063230993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4565 US HIGHWAY 17 STE 200",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034823",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 GROOVER LOOP STE 201",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866586",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203"
}
],
"practiceLocations": [
{
"address_1": "2300 Park Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735573",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "232 Ponte Vedra Park Dr",
"address_purpose": "LOCATION",
"city": "Ponte Vedra Beach",
"state": "FL",
"postal_code": "320826600",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4565 US Highway 17 Ste 200",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320034823",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2627 Riverside Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322044717",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10475 Centurion Pkwy N Ste 220",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322565004",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "604-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2110 Herschel St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322043820",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4268 Oldfield Crossing Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322238800",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYA",
"first_name": "ASHLEIGH",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9119380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124476900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.