Individual provider Active NPI

Sabine R Olaughlin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, FL
National Provider Identifier
1508824228
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME60593 Issued in FL
Practice address
800 Prudential Dr
Jacksonville, FL 32207
Phone
(904) 202-1347
Fax
(904) 202-3232
NPI assigned
May 2, 2006
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME60593 FL Primary

Addresses

Primary practice location

800 Prudential Dr
Jacksonville, FL 32207

Mailing address

PO Box 741087
Atlanta, GA 30384-1087
Phone (386) 326-8400

Other identifiers 1

IdentifierTypeStateIssuer
220010518OtherFLRAILROAD MEDICARE

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
I20101015000941 FL Practitioner - Pathology 6507059094 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians

Practice addresses (Care Compare)

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4955

710 Lomax St
Jacksonville, FL 32204-4015
Phone (904) 355-6583

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physician Specialists LLC CurrentSince Aug 26, 2019 Accepting new patients
Mid-Florida Pathology LLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2024 Accepting new patients
Florida Physician Specialists LLC Current Accepting new patients
Florida Physician Specialists LLC CurrentSince Aug 26, 2019 Accepting new patients
Mohammad Ali Faisal, M.D., P.a. CurrentSince Mar 7, 2015 Accepting new patients
Orlando Gastroenterology, P.a. CurrentSince May 6, 2024 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 12, 2017 Accepting new patients
Mohammad Ali Faisal Mdpa PastSince Mar 7, 2015 Accepting new patients
North Florida Pathology PA Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2100 Prevatt St
Eustis, FL 32726
Phone (352) 308-8903

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

710 Lomax St
Jacksonville, FL 32204
Phone (904) 306-6781

836 Prudential Dr
Ste 1502
Jacksonville, FL 32207
Phone (904) 396-5540

1283 SW State Road 47
Ste 104
Lake City, FL 32025
Phone (386) 758-5985

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1507 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 445-9224

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1508824228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841087",
            "telephone_number": "386-326-8400",
            "fax_number": "386-326-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-202-1347",
            "fax_number": "904-202-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAUGHLIN",
        "first_name": "SABINE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME60593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220010518",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.