FIRST COAST PSYCHIATRIC SERVICES, P.A.
NPI 1104222801
Psychiatry & Neurology - Psychiatry in Orange Park, FL
About First Coast Psychiatric Services, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIRST COAST PSYCHIATRIC SERVICES, P.A. (NPI 1104222801) is a healthcare organization registered as a psychiatry in Orange Park, Florida and active in the NPI registry since November 2014. The organization lists Heather Edwards, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
First Coast Psychiatric Services, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to First Coast Psychiatric Services, P.A., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 First Coast Psychiatric Services, P.A.'s NPI number?
The NPI number for First Coast Psychiatric Services, P.A. is 1104222801. It was assigned to this organization in the NPPES registry on November 7, 2014.
Where is First Coast Psychiatric Services, P.A. located?
First Coast Psychiatric Services, P.A. is located at 1543 Kingsley Ave Ste 14, Orange Park, FL 32073. The listed phone number is (904) 264-6977.
What is First Coast Psychiatric Services, P.A.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is First Coast Psychiatric Services, P.A. enrolled in Medicare?
Yes. First Coast Psychiatric Services, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through First Coast Psychiatric Services, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to First Coast Psychiatric Services, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Mental Health Counselor (2) and Psychiatry (2). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does First Coast Psychiatric Services, P.A. accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list First Coast Psychiatric Services, P.A. 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 First Coast Psychiatric Services, P.A. was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# First Coast Psychiatric Services, P.a. · NPI 1104222801
Psychiatry organization in Orange Park, Florida. Organization record, active in the CMS NPPES registry since November 7, 2014.
## Identity
- **NPI:** 1104222801 (Entity type: Organization)
- **Enumerated:** November 7, 2014
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Heather Edwards, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1543 KINGSLEY AVE STE 14, Orange Park, FL 32073-4570
- **Phone:** (904) 264-6977 · **Fax:** (904) 269-0870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Mental Health Counselor (2), Psychiatry (2); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104222801) · Data from the CMS NPPES public registry.