Individual provider Active NPI

Pawan Sagar Puli

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1477180156
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME172451 Issued in FL
Practice address
580 W 8TH St FL 9
Jacksonville, FL 32209-6533
Phone
(904) 244-9092
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME172451 FL Primary

Addresses

Primary practice location

580 W 8TH St FL 9
Jacksonville, FL 32209-6533

Mailing address

580 W 8TH St FL 9
Jacksonville, FL 32209-6533
Phone (848) 391-3352

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
I20250708002525 FL Practitioner - Neurology 2860906310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8140

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

3800 Meggison Rd
The Villages, FL 32163-3028
Phone (352) 570-6100

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-4442

580 W 8TH St
Jacksonville, FL 32209-6533
Phone (904) 244-9800

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5200

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 9, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Neurology CurrentSince Sep 3, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 9, 2025 Accepting new patients

Locations

580 W 8th St
Fl 9
Jacksonville, FL 32209
Phone (904) 244-9092

15255 Max Leggett Pkwy
Ste 3600
Jacksonville, FL 32218
Phone (904) 383-1011

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

5191 First Coast Tech Pkwy
Fl 2
Jacksonville, FL 32224
Phone (904) 427-7275

351 Town Plaza Ave
Ponte Vedra, FL 32081

300 Health Park Blvd
Ste 5000
St Augustine, FL 32086
Phone (904) 383-1022

Interoperability endpoints

  • Direct secure messaging: ppuli797601@direct.shands.ufl.edu
  • Direct secure messaging: ppuli28580@albanymed.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1477180156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST FL 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533",
            "telephone_number": "848-391-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST FL 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533",
            "telephone_number": "904-244-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULI",
        "first_name": "PAWAN",
        "middle_name": "SAGAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME172451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.