Active NPI
Chelsea Bugg, PA-C
- Medical Physician Assistant
- Jacksonville, FL
National Provider Identifier
1790225522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9110215
- Practice address
- 7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324 - Phone
- (904) 389-1010
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9110215 | FL | Primary |
Addresses
Primary practice location
7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324
Mailing address
10010 Lake Skinner Drive
Apt 933
Jacksonville, FL 32246
Phone (561) 339-1004
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110215 | FL | MD | Medical Physician Assistant |
Interoperability endpoints
- chelsea.bugg.p1@direct.riversidepain.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1790225522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 LAKE SKINNER DRIVE",
"address_2": "APT 933",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32246",
"telephone_number": "561-339-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7207 GOLDEN WINGS RD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322443324",
"telephone_number": "904-389-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGG",
"first_name": "CHELSEA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9110215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.