The Carithers Pediatric Group

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

THE CARITHERS PEDIATRIC GROUP

Practice address

2121 Park St
Jacksonville, FL 32204-3811

Phone

(904) 387-6200

Fax

(904) 387-0261

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Tiffany Westbrook

Title

Business Office Manager

Phone

(904) 387-9505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Drs. Carithers, Threlkel, Colyer, Baker, and Cheek, P.A. Other name

Tax ID family

DRS Carithers Threlkel Colyer Baker and Cheek PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Carithers Pediatric Group

  • Pediatric Adolescent Medicine Physician
  • Jacksonville, FL
  • NPI 1275205627
  NPD tax ID

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1811980196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043811",
            "telephone_number": "904-387-6200",
            "fax_number": "904-387-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043811",
            "telephone_number": "904-387-6200",
            "fax_number": "904-387-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARITHERS PEDIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "WESTBROOK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "904-387-9505"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260421300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Carithers, Threlkel, Colyer, Baker, and Cheek, P.A.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Drs. Carithers, Threlkel, Colyer, Baker, and Cheek, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Body Image Counseling Center
• The Body-N-Balance Physical Therapy Inc
• The Body-N-Balance Physical Therapy Inc
• The Canopy at Duval Station
• The Carithers Pediatric Group
• The Cataract Vision Institute LLC
• The Center for Intuitive Living and Wellness, LLC
• The Chesapeake Center
• The Clarity Collective LLC
• The Counseling Group, PA

• Pediatric Adolescent Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.