Individual provider Active NPI

Kalin Sawdo, PA

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1629865027
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120029 Issued in FL
Practice address
1550 Riverside Ave Ste a
Jacksonville, FL 32204-4162
Phone
(904) 923-6647
Fax
(904) 355-7788
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120029 FL Primary

Addresses

Primary practice location

1550 Riverside Ave Ste a
Jacksonville, FL 32204-4162

Mailing address

3473 Village Park Dr
Green Cove Springs, FL 32043-6801
Phone (904) 309-4808

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
I20250528000956 FL Practitioner - Physician Assistant 0244759777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Dermatology and Skin Surgery PAGroup PAC ID 1153547989, 7 clinicians

Practice addresses (Care Compare)

1209 Park Ave
Orange Park, FL 32073-4158
Phone (904) 923-6647

1550 Riverside Ave
Suite a
Jacksonville, FL 32204-4162
Phone (904) 923-6647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120029FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kalinsawdo@precisiondermatologyandskinsurgery.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1629865027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 VILLAGE PARK DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320436801",
            "telephone_number": "904-309-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RIVERSIDE AVE STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044162",
            "telephone_number": "904-923-6647",
            "fax_number": "904-355-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWDO",
        "first_name": "KALIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.