SOUTH ATLANTIC RETINA PLLC
NPI 1033092366
Ophthalmology - Retina Specialist in Jacksonville, FL

Q: What is South Atlantic Retina PLLC's NPI number?

The NPI number for South Atlantic Retina PLLC is 1033092366. It was assigned to this organization in the NPPES registry on July 25, 2025. The provider is doing business as South Atlantic Retina.

Q: What is South Atlantic Retina PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Active since July 25, 2025

3627 UNIVERSITY BLVD S STE 605, JACKSONVILLE, FL 32216(904) 658-0176 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, May 8, 2026, Sep 20, 2025 and 1 more (4 updates tracked since 2025).

On this page

About South Atlantic Retina Pllc NPPES

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

SOUTH ATLANTIC RETINA PLLC (NPI 1033092366), doing business as South Atlantic Retina, is a healthcare organization registered as a retina specialist in Jacksonville, Florida and active in the NPI registry since July 2025. The organization lists Ahmed M Elkeeb, Owner, as its authorized official.

NPPES Registry Identity

NPI1033092366

Entity TypeOrganization

Primary Taxonomy207WX0107X

Legal Business NameSOUTH ATLANTIC RETINA PLLC

Location Address3627 UNIVERSITY BLVD S STE 605Jacksonville, FL 32216-7401

Mailing Address3627 University Blvd S Ste 605Jacksonville, FL 32216-7401 · (904) 666-5050 · Fax (904) 605-4872

Phone(904) 658-0176

Organization SubpartNo

Authorized OfficialAhmed M ElkeebOwner · (904) 658-0176

Enumeration DateJuly 25, 2025

Last NPPES UpdateMay 27, 20264 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1033092366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X

3627 UNIVERSITY BLVD S STE 605, Jacksonville, FL 32216

Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Atlantic Retina

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 PSYCHIATRY AND WELLNESS, PLLC

Psychiatry & Neurology (Psychiatry)

3627 UNIVERSITY BLVD S STE 605
JACKSONVILLE, FL 32216

Duval County (323) 640-0031

DR. AHMED M ELKEEB M.D.

Ophthalmology (Retina Specialist)

3627 UNIVERSITY BLVD S STE 605
JACKSONVILLE, FL 32216

Duval County (904) 666-5050

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 South Atlantic Retina PLLC's NPI number?

The NPI number for South Atlantic Retina PLLC is 1033092366. It was assigned to this organization in the NPPES registry on July 25, 2025. The provider is doing business as South Atlantic Retina.

Where is South Atlantic Retina PLLC located?

South Atlantic Retina PLLC is located at 3627 University Blvd S Ste 605, Jacksonville, FL 32216. The listed phone number is (904) 658-0176.

What is South Atlantic Retina PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

When was this NPI record last updated?

The NPPES record for South Atlantic Retina PLLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.