Individual provider Active NPI

Daniel A Beck, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1780688465
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3181 Issued in FL
Practice address
280 Dundas Dr
Jacksonville, FL 32218-5517
Phone
(904) 751-4906
Fax
(904) 714-3574
NPI assigned
Jun 9, 2005
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3181 FL Primary
Surgical Physician Assistant 363AS0400X PA3181 FL

Addresses

Primary practice location

280 Dundas Dr
Jacksonville, FL 32218-5517

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

1821 Blanding Blvd Ste 2
Middleburg, FL 32068-3839
Phone (904) 406-3160

Other practice location 2

2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233
Phone (904) 265-7020

Other practice location 3

1564 Kingsley Ave Ste 300
Orange Park, FL 32073-4521
Phone (904) 264-8801

Other identifiers 1

IdentifierTypeStateIssuer
290764000MedicaidFL

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
I20080216000108 FL Practitioner - Physician Assistant 7214010065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 751-4906

421 Kingsley Ave
Orange Park, FL 32073-4898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3181FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Jun 12, 2023 Accepting new patients
Physicians Group Services PA Physician Assistant CurrentSince Jun 12, 2023 Accepting new patients
Physicians Group Services PA Physician Assistant Past Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

2700 Riverside Ave
Ste 2
Jacksonville, FL 32205
Phone (904) 264-8801

280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906

1821 Blanding Blvd
Ste 2
Middleburg, FL 32068
Phone (904) 264-0400

1564 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 264-8801

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

Interoperability endpoints

  • Direct secure messaging: daniel.beck.1@25110.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1780688465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DUNDAS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185517",
            "telephone_number": "904-751-4906",
            "fax_number": "904-714-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Blanding Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320683839",
            "country_code": "US",
            "telephone_number": "904-406-3160",
            "fax_number": "833-578-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Riverside Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322058233",
            "country_code": "US",
            "telephone_number": "904-265-7020",
            "fax_number": "833-578-1806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1564 Kingsley Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734521",
            "country_code": "US",
            "telephone_number": "904-264-8801",
            "fax_number": "833-578-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3181",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290764000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.