Active NPI
Cynthia A Demola, PA
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00094400
- Practice address
- 4123 University Blvd S Ste E
Jacksonville, FL 32216-4320 - Phone
- (904) 744-4448
- Fax
- (904) 744-4048
- NPI assigned
- Jun 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00094400 | NJ | Primary |
| Physician Assistant | 363A00000X | PA9116747 | FL |
Addresses
Primary practice location
4123 University Blvd S Ste E
Jacksonville, FL 32216-4320
Mailing address
4123 University Blvd S Ste E
Jacksonville, FL 32216-4320
Phone (904) 744-4448
Other names 1
- Ms. Cynthia A Demola
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1275 Matengo Cir
St Johns, FL 32259-8009
7825 Baymeadows Way
Suite 104a
Jacksonville, FL 32256-7535
PO Box
Suite 57189
Jacksonville, FL 32241-7189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9116747 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Nephrology Inc | Current | Accepting new patients | |
| Essex Kidney Group, LLC | Past | Accepting new patients | |
| The Kidney Group PA | Past | Accepting new patients |
Locations
4123 University Blvd S
Ste E
Jacksonville, FL 32216
Phone (904) 737-2722
1594 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-8621
Organizations & group practices 3
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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1942625520
-
- Nephrology Physician
- Newark, NJ
- NPI 1033357132
-
- Nephrology Physician
- Newark, NJ
- NPI 1326218546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1720020167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 UNIVERSITY BLVD S STE E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164320",
"telephone_number": "904-744-4448",
"fax_number": "904-744-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 UNIVERSITY BLVD S STE E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164320",
"telephone_number": "904-744-4448",
"fax_number": "904-744-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOLA",
"first_name": "CYNTHIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00094400",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "DEMOLA",
"middle_name": "A",
"prefix": "MS.",
"credential": "PA-C",
"code": "5",
"type": "Other 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 Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.