Active NPI
Mark Anthony Mathias, PA-C
- Surgical Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9105501
- Practice address
- 14534 Old Saint Augustine Rd Ste 3210
Jacksonville, FL 32258-2645 - Phone
- (904) 675-4000
- Fax
- (904) 675-4007
- NPI assigned
- Jul 7, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9105501 | FL | Primary |
Addresses
Primary practice location
14534 Old Saint Augustine Rd Ste 3210
Jacksonville, FL 32258-2645
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other practice location 1
5191 First Coast Tech Pkwy # 3
Jacksonville, FL 32224-0609
Phone (904) 675-4000
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LPEffingham Rehab Services, LLC
Practice addresses (Care Compare)
11945 San Jose Blvd
Jacksonville, FL 32223-1627
Phone (904) 396-1725
1200 Lexington Green LN
Sanford, FL 32771-1013
1390 Boone Ave Ext
Suite A23
Kingsland, GA 31548-6515
Phone (419) 221-3717
14534 Old Saint Augustine Rd
Suite 3210
Jacksonville, FL 32258-2645
Phone (904) 880-1260
1890 Lpga Blvd
Suite 250
Daytona Beach, FL 32117-7131
Phone (386) 274-0250
5191 1St Coast Tech Pkwy
FL 3
Jacksonville, FL 32224-0609
Phone (904) 880-1260
Hospital & facility affiliations
- Concierge Home Care
- Concierge Home Care
- Concierge Home Care
- Concierge Home Care
- Adventhealth Daytona Beach
- AdventHealth Palm Coast
- Ascension St Vincent'S Southside
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.75 of 100
- Quality
- 88.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
14534 Old St Augustine Rd
Ste 3210
Jacksonville, FL 32258
Phone (904) 880-1260
2 Shircliff Way
Ste 605
Jacksonville, FL 32204
Phone (904) 328-5979
2627 Riverside Ave
Ste 300
Jacksonville, FL 32204
Phone (904) 634-0460
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
Interoperability endpoints
- mark.mathias.1@9109.direct.athenahealth.com
- mmathias5490916@adventhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1538952379
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1235737925
-
- Home Health Agency
- Port Orange, FL
- NPI 1801494505
-
- Home Health Agency
- St Augustine, FL
- NPI 1073111787
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- Home Health Agency
- Orange Park, FL
- NPI 1629262449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1922310952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-396-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14534 OLD SAINT AUGUSTINE RD STE 3210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322582645",
"telephone_number": "904-675-4000",
"fax_number": "904-675-4007"
}
],
"practiceLocations": [
{
"address_1": "5191 First Coast Tech Pkwy # 3",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322240609",
"country_code": "US",
"telephone_number": "904-675-4000",
"fax_number": "904-675-4007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHIAS",
"first_name": "MARK",
"middle_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9105501",
"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 Aug 20, 2026; 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.