Individual provider Active NPI

Mark Anthony Mathias, PA-C

  • Surgical Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1922310952
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105501 Issued in FL
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

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000598 FL Practitioner - Physician Assistant 3779617998 Reassigns benefits to 2 organizations

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
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

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 Home health agency, Jacksonville, FL, CCN 687131
  • Concierge Home Care Home health agency, Port Orange, FL, CCN 687137
  • Concierge Home Care Home health agency, St. Augustine, FL, CCN 687130
  • Concierge Home Care Home health agency, Orange Park, FL, CCN 109771
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Aug 18, 2025 Accepting new patients
Southeast Orthopedic Specialists, LLC CurrentSince Dec 1, 2019 Accepting new patients
Southeast Orthopedic Specialists, LLC CurrentSince Dec 1, 2019 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 18, 2025 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

  • Direct secure messaging: mark.mathias.1@9109.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.