Active NPI
Swetha Sundaralingam Jean, PA-C
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1699285684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9111027
- Practice address
- 8990 R G Skinner Pkwy
Jacksonville, FL 32256-4020 - Phone
- (904) 519-6555
- Fax
- (904) 519-6550
- NPI assigned
- Oct 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9111027 | FL | Primary |
Addresses
Primary practice location
8990 R G Skinner Pkwy
Jacksonville, FL 32256-4020
Mailing address
8990 R G Skinner Pkwy
Jacksonville, FL 32256-4020
Phone (904) 519-6555
Other practice location 1
274 3rd Ave S
Jacksonville, FL 32250-6727
Phone (904) 249-3373
Other practice location 2
1679 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4816
Phone (904) 264-1958
Other names 1
- Swetha Leana Sundaralingam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9111027 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Past | Accepting new patients |
Interoperability endpoints
- swetha.jean.1@8042.direct.athenahealth.com
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1699285684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8990 R G SKINNER PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564020",
"telephone_number": "904-519-6555",
"fax_number": "904-519-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 R G SKINNER PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564020",
"telephone_number": "904-519-6555",
"fax_number": "904-519-6550"
}
],
"practiceLocations": [
{
"address_1": "274 3rd Ave S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322506727",
"country_code": "US",
"telephone_number": "904-249-3373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1679 Eagle Harbor Pkwy Ste B",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320034816",
"country_code": "US",
"telephone_number": "904-264-1958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN",
"first_name": "SWETHA",
"middle_name": "SUNDARALINGAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SWETHA",
"last_name": "SUNDARALINGAM",
"middle_name": "LEANA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.