First Choice Family Practice PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101422 Issued in FL

Legal business name

FIRST CHOICE FAMILY PRACTICE PA

Doing business as

First Choice Medical

Practice address

550 Wells Rd
Suite 17
Orange Park, FL 32073-2969

Phone

(904) 269-2900

Fax

(904) 269-1140

NPI assigned

Jan 18, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Cannon

Title

Administrator

Phone

(904) 269-2900

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• First Choice Medical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Leigh Cruikshank, MD

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1053463075
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568514503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WELLS RD",
            "address_2": "SUITE 17",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732969",
            "telephone_number": "904-269-2900",
            "fax_number": "904-269-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WELLS RD",
            "address_2": "SUITE 17",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732969",
            "telephone_number": "904-269-2900",
            "fax_number": "904-269-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-269-2900"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2719",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101422",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0052191",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05937",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physician Assistant in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.