Julington Creek Pediatrics

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

NE74170 Issued in FL

Legal business name

JULINGTON CREEK PEDIATRICS

Practice address

774 State Road 13 Ste 6
Jacksonville, FL 32259-3815

Phone

(904) 230-5437

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Ann Benedict

Title

Billing Manager

Phone

(904) 230-5437

Specialties & licenses 1

Addresses

Tax ID family

Julington Creek Pediatrics2 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.

• Julington Creek Pediatrics

  • Specialist
  • Saint Johns, FL
  • NPI 1902124522
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Cole Helow, M.D.

  • Specialist
  • Jacksonville, FL
  • NPI 1679682264
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1891188173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 STATE ROAD 13 STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593815",
            "telephone_number": "904-230-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE ROAD 13 STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593815",
            "telephone_number": "904-230-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULINGTON CREEK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-230-5437"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "NE74170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maltonia Julian
• Julie Mergl, Inc.
• Julie's Home Health Care LLC
• Julington Creek Chiropractic & Wellness Center PA
• Julington Creek Family Dentistry, PA
• Joseph Raymond Jumarang
• Angela Jumpp
• Junco Emergency Physicians LLC
• Junco Emergency Physicians LLC
• Jessica L Jund, PA-C

• Preferred Provider Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.