North Florida Pain Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME88799 Issued in FL

Legal business name

NORTH FLORIDA PAIN CENTER PA

Practice address

5851 Timuquana Rd
Suite 401
Jacksonville, FL 32210

Phone

(904) 317-5069

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey D Caudill, MDNPI 1326144700

Title

Owner

Phone

(904) 317-5069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAGDAA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey D. Caudill, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1326144700
  Medicare reassignment NPD Authorized official
• Haitao Zhang, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1679716344
  Medicare reassignment NPD
• Thomas C Drake I, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1588761431
  NPD (past)
• Janey Nicole Sappe

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1225592561
  NPD (past)
• Jennifer Lynn Hartsfield, FNP-BC

  • Family Nurse Practitioner
  • Mooresville, NC
  • NPI 1326270505
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1194922757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 TIMUQUANA RD",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107878",
            "telephone_number": "904-708-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 TIMUQUANA RD",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-317-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA PAIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-317-5069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Florida Multispecialty Physicians LLC
• North Florida OBGYN Jacksonville
• North Florida Obstetrical and Gynecological Associates PA
• North Florida Oral & Facial Surgery, P.a.
• North Florida Otolaryngology Associates PA
• North Florida Pathology PA
• North Florida Pediatrics PA
• North Florida Pediatrics, PA
• North Florida Pediatrics, PA
• North Florida Primary Associates, LLC

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.