Active NPI
Yola Alicja Davidson
- Family Nurse Practitioner
- Macclenny, FL
National Provider Identifier
1073356101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11034936
- Practice address
- 121 W Macclenny Ave
Macclenny, FL 32063-2029 - Phone
- (904) 259-6380
- Fax
- (904) 259-6340
- NPI assigned
- Jun 17, 2024
- Last updated
- Mar 26, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11034936 | FL | Primary |
Addresses
Primary practice location
121 W Macclenny Ave
Macclenny, FL 32063-2029
Mailing address
121 W Macclenny Ave
Macclenny, FL 32063-2029
Phone (904) 259-6380
Other names 1
- Jolanta Pilat- Joroff
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
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 W Macclenny Ave
Macclenny, FL 32063-2029
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11034936 | FL | MD | Family Nurse Practitioner |
Organizations & group practices 1
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": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1073356101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W MACCLENNY AVE",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632029",
"telephone_number": "904-259-6380",
"fax_number": "904-259-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W MACCLENNY AVE",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632029",
"telephone_number": "904-259-6380",
"fax_number": "904-259-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "YOLA",
"middle_name": "ALICJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLANTA",
"last_name": "PILAT- JOROFF",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.