NORTH FLORIDA PEDIATRICS, PA
NPI 1124797543
Pediatrics in Lake City, FL

Q: What is North Florida Pediatrics, PA's NPI number?

The NPI number for North Florida Pediatrics, PA is 1124797543. It was assigned to this organization in the NPPES registry on September 9, 2021.

Q: What is North Florida Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 09, 2021CLIA 10D1048790 · Waiver

NORTH FLORIDA PEDIATRICS, PA., 1859 SW NEWLAND WAY, LAKE CITY, FL 32025(386) 758-0003(386) 755-4432 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About North Florida Pediatrics, Pa NPPES

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

NORTH FLORIDA PEDIATRICS, PA (NPI 1124797543) is a healthcare organization registered as a pediatrics in Lake City, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Samuel Santelices, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1124797543

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNORTH FLORIDA PEDIATRICS, PA

Location AddressNORTH FLORIDA PEDIATRICS, PA., 1859 SW NEWLAND WAYLake City, FL 32025

Mailing Address1859 Sw Newland WayLake City, FL 32025 · (386) 758-0003 · Fax (386) 755-4432

Phone(386) 758-0003

Fax(386) 755-4432

Organization SubpartYesParent: North Florida Pediatrics, Pa.

Authorized OfficialSamuel SantelicesPresident / Ceo · (386) 758-0003

Enumeration DateSeptember 9, 2021

NPPES CertifiedSeptember 9, 2021

✔ NPI 1124797543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

NORTH FLORIDA PEDIATRICS, PA., Lake City, FL 32025

Open in Google Maps ↗

Other Identifiers 1

Medicaid001532501FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D1048790

North Florida Pediatrics PA · Jasper, FL

Active · expires Dec 11, 2027

CLIA Number10D1048790

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2025

Certificate Expiration DateDecember 11, 2027

Laboratory DirectorPamela G. Santelices

Laboratory Phone(386) 758-0003

Laboratory LocationNorth Florida Pediatrics PA1117 NW Highway 41 Suite B, Jasper, FL 32052

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 North Florida Pediatrics, PA's NPI number?

The NPI number for North Florida Pediatrics, PA is 1124797543. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is North Florida Pediatrics, PA located?

North Florida Pediatrics, PA is located at North Florida Pediatrics, PA. 1859 SW Newland Way, Lake City, FL 32025. The listed phone number is (386) 758-0003.

What is North Florida Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does North Florida Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1048790) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Florida Pediatrics, PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list North Florida Pediatrics, 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 North Florida Pediatrics, PA was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.