Individual provider Active NPI

Ashley R Rawlings, NP

  • Gerontology Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1205567955
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11017107 Issued in FL
Practice address
8130 Baymeadows Way W Ste 201
Jacksonville, FL 32256-7451
Phone
(800) 427-1902
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11017107 FL Primary

Addresses

Primary practice location

8130 Baymeadows Way W Ste 201
Jacksonville, FL 32256-7451

Mailing address

333 N Summit St FL 15
Toledo, OH 43604-1531

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002088 FL Practitioner - Nurse Practitioner 2860876570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

950 S Dillard St
Suite a
Winter Garden, FL 34787-3912
Phone (407) 794-8382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017107FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Mar 20, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Mar 20, 2024 Accepting new patients
Mid-South Home Care Services, LLC PastSince May 1, 2020 Accepting new patients

Locations

8130 Baymeadows Way W
Ste 201
Jacksonville, FL 32256
Phone (740) 988-5042

6161 Blue Lagoon Dr
Ste 2
Miami, FL 33126
Phone (305) 677-3134

5111 N 12th Ave
Ste B
Pensacola, FL 32504
Phone (850) 316-4882

950 S Dillard St
Ste A
Winter Garden, FL 34787
Phone (352) 816-2600

Organizations & group practices 3

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1205567955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 15",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BAYMEADOWS WAY W STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567451",
            "telephone_number": "800-427-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINGS",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11017107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.