Individual provider Active NPI

Bryan Keith Rawlinson, P.A.

  • Physician Assistant
  • Fernandina Beach, FL
National Provider Identifier
1922079425
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1865 Lime St Ste 101
Fernandina Beach, FL 32034-4779
Phone
(904) 321-2422
Fax
(904) 321-2434
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2359 FL
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1865 Lime St Ste 101
Fernandina Beach, FL 32034-4779

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331

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
I20040419001708 FL Practitioner - Physician Assistant 9133114044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
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)

1865 Lime St
Fernandina Beach, FL 32034-4779

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

421 Kingsley Ave
Orange Park, FL 32073-4898

463380 State Rd
Yulee, FL 32097-3240
Phone (904) 468-3080

Hospital & facility affiliations

  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2359FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA Physician Assistant CurrentSince Feb 3, 2015 Accepting new patients
Physicians Group Services PA Physician Assistant CurrentSince Feb 3, 2015 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Physician Assistant Past Accepting new patients
Physicians Group Services PA Past Accepting new patients
Physicians Group Services PA Physician Assistant Past Accepting new patients

Locations

1865 Lime St
Ste 101
Fernandina Beach, FL 32034
Phone (904) 321-2422

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

7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244

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

463386 State Road 200
Unit A
Yulee, FL 32097
Phone (904) 406-3888

Interoperability endpoints

  • Direct secure messaging: bryan.rawlinson.1@25110.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1922079425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 LIME ST STE 101",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344779",
            "telephone_number": "904-321-2422",
            "fax_number": "904-321-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINSON",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2359",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

Verify at the official NPI Registry.