Active NPI
Bryan Keith Rawlinson, P.A.
- Physician Assistant
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2359 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Services PA | Physician Assistant | Current | Accepting new patients |
| Physicians Group Services PA | Physician Assistant | Current | 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
- 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.
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
Physician Assistant
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1700522299
Physician Assistant
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Physician Assistant
-
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
- NPI 1528371051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.