Rebecca J Thomas, DO
Individual provider Active NPI Emergency Medicine Physician · Orange Park, FL
NPI 1699415786 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1699415786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- OS22019 (FL)
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5156 - Phone
- (904) 639-2003
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rocky Vista University College of Osteopathic Med, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Paragon Emergency Services LLC
Practice addresses (Care Compare)
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6111
Hospital & facility affiliations
- Ascension St Vincent'S Clay County
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S Southside
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250501001587 | FL | Practitioner - Emergency Medicine | 9739605809 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | OS22019 | FL | Yes |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5156
Mailing address
3845 Miruelo Cir S
Jacksonville, FL 32217-3666
Phone (435) 922-6380
Other providers in Orange Park, FL
- Claire J Thomas
- Courtney Thomas
- Denise Rashay Thomas
- Kaori Thomas
- Mitchell Thomas
- Samuel Thomas
- Terrainie L Thomas
- Lyndsey Melisa Thompson
- Monique Thompson
- Yvette L Thompson
All providers in Orange Park, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.