Dana Rachael Eyerly, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME168605 Issued in FL

Practice address

950 Marsh Landing Pkwy Ste 105a
Jacksonville Beach, FL 32250-1408

Phone

(904) 280-1225

Fax

(904) 390-7505

NPI assigned

Mar 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deyerly175519@baptisthealthsystemjacksonville.direct-ci.com

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.

• Baptist Primary Care Inc

  • Pediatrics Physician
  • Jacksonville Beach, FL
  • NPI 1508475815
  NPD
• Baptist Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1508817529

  Pediatrics

  NPD (past)
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  NPD (past)

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1184201758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MARSH LANDING PKWY STE 105A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501408",
            "telephone_number": "904-280-1225",
            "fax_number": "904-390-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 San Jose Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322174612",
            "country_code": "US",
            "telephone_number": "904-731-3530",
            "fax_number": "904-390-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Colonnade Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816236",
            "country_code": "US",
            "telephone_number": "904-686-7577",
            "fax_number": "904-390-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYERLY",
        "first_name": "DANA",
        "middle_name": "RACHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME168605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael C Evans, DO
• Jennifer Dee Everett, OTR
• Julia E Everson
• Evolve Support Services, LLC
• Evolving Homes
• Gideon Eziama
• Shirley Lynn Fabrizio, ARNP
• Family First Vision Care, PLLC
• Vincent Charles Farrar, DC
• Amber Faulhaber, LCSW

• Pediatrics Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.