JEFFERSON RODRIGUES DE SOUZA PA-C
NPI 1033921184
Physician Assistant in Jacksonville, FL

Q: What is Jefferson Rodrigues De Souza's NPI number?

The NPI number for Jefferson Rodrigues De Souza is 1033921184. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Q: What is Jefferson Rodrigues De Souza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 24, 2025PECOS Enrolled

6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216(904) 245-8910 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Sep 11, 2025, Feb 6, 2025 (3 updates tracked since 2025).

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About Jefferson Rodrigues De Souza Pa-c NPPES

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

JEFFERSON RODRIGUES DE SOUZA PA-C (NPI 1033921184) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (9120774) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1033921184

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJEFFERSON RODRIGUES DE SOUZACredential: PA-C

Location Address6675 CORPORATE CENTER PKWY STE 115Jacksonville, FL 32216-8088

Mailing Address208 Gan WaySaint Johns, FL 32259-9403 · (505) 514-6692

Phone(904) 245-8910

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 24, 2025

Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1033921184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · 9120774

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6675 CORPORATE CENTER PKWY STE 115, Jacksonville, FL 32216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson Rodrigues De Souza Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062919483

PECOS Enrollment IDI20251009004241

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

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