Active NPI
Thomas Jackson Downey, P.A.C.
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109946
- Practice address
- 5964 Normandy Blvd
Jacksonville, FL 32205-6212 - Phone
- (904) 378-0121
- NPI assigned
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-898 | AL | |
| Physician Assistant | 363A00000X | PA9109946 | FL | Primary |
Addresses
Primary practice location
5964 Normandy Blvd
Jacksonville, FL 32205-6212
Mailing address
5964 Normandy Blvd
Jacksonville, FL 32205-6212
Phone (904) 378-0121
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1021 Cesery Blvd
Jacksonville, FL 32211-5609
Phone (615) 600-4074
12303 San Jose Blvd
Jacksonville, FL 32223-2640
Phone (615) 600-4074
151 Pine Lake Dr
Suite B
Ponte Vedra, FL 32081-5182
Phone (904) 543-3677
1544 County Rd
220 Suite 100
Orange Park, FL 32003-4991
Phone (904) 830-9009
1708 Blanding Blvd
Middleburg, FL 32068-3836
Phone (615) 600-4074
2140 Kingsley Ave
Orange Park, FL 32073-5180
Phone (615) 600-4074
2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337
4498 Hendricks Ave
Jacksonville, FL 32207-6326
Phone (615) 600-4074
5964 Normandy Blvd
Carespot Express Healthcare
Jacksonville, FL 32205-6212
Phone (615) 600-4074
9680 Argyle Forest Blvd
Suite 34
Jacksonville, FL 32222-2847
Phone (904) 569-7771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-898 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic of Jacksonville, LLC | Current | Accepting new patients | |
| Solantic of Jacksonville, LLC | Past | Accepting new patients | |
| Alabama Hand and Sports Medicine, L.L.C. | Past | Accepting new patients |
Locations
5964 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121
115 Eastpark Dr
Ste 300
Brentwood, TN 37027
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.
-
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1295400117
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1902574635
-
- Durable Medical Equipment & Medical Supplies
- Vestavia, AL
- NPI 1811329741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1952745358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5964 NORMANDY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322056212",
"telephone_number": "904-378-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5964 NORMANDY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322056212",
"telephone_number": "904-378-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNEY",
"first_name": "THOMAS",
"middle_name": "JACKSON",
"credential": "P.A.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA-898",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109946",
"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 Feb 27, 2023; 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.