Individual provider Active NPI

Gregory G Pavlat, M. D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1154551398
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME103761 Issued in FL
Practice address
11912 Fitchwood Cir
Jacksonville, FL 32258-4507
Phone
(904) 438-5503
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME103761 FL Primary

Addresses

Primary practice location

11912 Fitchwood Cir
Jacksonville, FL 32258-4507

Mailing address

11912 Fitchwood Cir
Jacksonville, FL 32258-4507
Phone (904) 438-5503

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
I20091014000541 FL Practitioner - Internal Medicine 2365588852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

11481 Old Saint Augustine Rd
Suite 101
Jacksonville, FL 32258-1474
Phone (904) 633-0210

3122 New Berlin Rd
Jacksonville, FL 32226-1828
Phone (904) 633-0340

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-7874

655 W 8TH St
Jacksonville, FL 32209-6511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103761FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 5, 2026 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jan 5, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine Past Accepting new patients

Locations

655 W 8th St
Fl 4
Jacksonville, FL 32209
Phone (904) 244-3140

Organizations & group practices 4

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1154551398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 FITCHWOOD CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322584507",
            "telephone_number": "904-438-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 FITCHWOOD CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322584507",
            "telephone_number": "904-438-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAT",
        "first_name": "GREGORY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.