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ACKERMAN UROLOGY
NPI 1013542919
Urology in Jacksonville, FL

Active since March 11, 2020CLIA Certified · 5 labs
10232 SAN JOSE BLVD, JACKSONVILLE, FL 32257(904) 490-7400(904) 490-7401 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2023, Mar 11, 2020 (2 updates tracked since 2020).

About Ackerman Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACKERMAN UROLOGY (NPI 1013542919) is a healthcare organization registered as an urology in Jacksonville, Florida and active in the NPI registry since March 2020. The organization holds 5 active CLIA laboratory certificates and lists Scot N Ackerman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013542919
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameACKERMAN CANCER CENTER, PA
Location Address10232 SAN JOSE BLVDJacksonville, FL 32257
Mailing Address10232 San Jose BlvdJacksonville, FL 32257 · (904) 490-7400 · Fax (904) 490-7401
Phone(904) 490-7400
Fax(904) 490-7401
Organization SubpartNo
Authorized OfficialScot N AckermanMedical Director · (904) 260-3022
Enumeration DateMarch 11, 2020
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1013542919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
10232 SAN JOSE BLVD, Jacksonville, FL 32257
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Other Names 1

Doing Business AsAckerman Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2177107

Ackerman Urology · Jacksonville, FL
Active · expires Jan 5, 2028
CLIA Number10D2177107
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorScot N. Ackerman
Laboratory Phone(904) 490-7400
Laboratory LocationAckerman Urology10232 San Jose Blvd, Jacksonville, FL 32257
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2294760

Ackerman Cancer Center, Padba Akerman Urology · St Augustine, FL
Active · expires Nov 28, 2027
CLIA Number10D2294760
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorScot N. Ackerman
Laboratory Phone(904) 490-7400
Laboratory LocationAckerman Cancer Center, Padba Akerman Urology533 W Twincourt Trail, Suite 701, St Augustine, FL 32095
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2285980

Ackerman Cancer Center, PA · Jacksonville, FL
Active · expires Jul 20, 2027
CLIA Number10D2285980
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorScot N. Ackerman
Laboratory Phone(904) 490-7400
Laboratory LocationAckerman Cancer Center, PA13155 Atlantic Blvd - Exam Room 6 & 7, Jacksonville, FL 32225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2199687

Ackerman Urology · Middleburg, FL
Active · expires Nov 9, 2026
CLIA Number10D2199687
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorScot N. Ackerman
Laboratory Phone(904) 490-7400
Laboratory LocationAckerman Urology3839 County Rd 218, Middleburg, FL 32068
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2085724

Ackerman Cancer Center · Jacksonville, FL
Active · expires Oct 20, 2026
CLIA Number10D2085724
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorScot N. Ackerman
Laboratory Phone(904) 260-3022
Laboratory LocationAckerman Cancer Center10881 San Jose Blvd, Jacksonville, FL 32223
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Internal Medicine (Medical Oncology)
10232 SAN JOSE BLVD
JACKSONVILLE, FL 32257
Duval County (239) 274-8200
JENNIFER L GLOCK LMFT
Marriage & Family Therapist
10232 SAN JOSE BLVD
JACKSONVILLE, FL 32257
Duval County (904) 260-0218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ackerman Cancer Center, PA's NPI number?

The NPI number for Ackerman Cancer Center, PA is 1013542919. It was assigned to this organization in the NPPES registry on March 11, 2020. The provider is doing business as Ackerman Urology.

Where is Ackerman Cancer Center, PA located?

Ackerman Cancer Center, PA is located at 10232 San Jose Blvd, Jacksonville, FL 32257. The listed phone number is (904) 490-7400.

What is Ackerman Cancer Center, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Ackerman Cancer Center, PA hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ackerman Cancer Center, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ackerman Cancer Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ackerman Cancer Center, PA was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.