Active NPI
Jennifer N Card, PA-C
- Surgical Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9108896
- Practice address
- 836 Prudential Dr
Ste 1804
Jacksonville, FL 32207 - Phone
- (904) 398-3888
- Fax
- (904) 400-6671
- NPI assigned
- Jul 16, 2008
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9108896 | FL | Primary |
Addresses
Primary practice location
836 Prudential Dr
Ste 1804
Jacksonville, FL 32207
Mailing address
1824 King St
Suite 200
Jacksonville, FL 32204-4735
Phone (904) 384-3343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13000 Sawgrass Village Cir
Suite 6
Ponte Vedra, FL 32082-5017
Phone (904) 384-3343
1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343
1893 Kingsley Ave
Suite a
Orange Park, FL 32073-4421
Phone (904) 592-4940
3627 University Blvd S
Suite 135
Jacksonville, FL 32216-4231
Phone (904) 398-8147
836 Prudential Dr
Suite 1804
Jacksonville, FL 32207-8345
Phone (904) 398-3888
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- HCA Florida Memorial Hospital
- Ascension St Vincent'S Riverside
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005344 | GA | MD | Counselor |
| PA9108896 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Emergency Medicine Associates PC | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Past | Accepting new patients |
Locations
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Interoperability endpoints
- jennifercard@cvsapa.allscriptsdirect.net
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.
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1386903649
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1174787303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 KING ST",
"address_2": "SUITE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044735",
"telephone_number": "904-384-3343",
"fax_number": "904-400-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DR",
"address_2": "STE 1804",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32207",
"telephone_number": "904-398-3888",
"fax_number": "904-400-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARD",
"first_name": "JENNIFER",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9108896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.