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DR. OLIN BEVERLY MAULDIN JR. M.D.
NPI 1154380285
Pediatrics in Jacksonville, FL

Active since March 18, 2006PECOS Enrolled
6271 SAINT AUGUSTINE RD, UFJP SAN JOSE PEDIATRIC AND ADOLESCENTER CENTER, JACKSONVILLE, FL 32217(904) 633-0460(904) 633-0461 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Olin Beverly Mauldin Jr. M.d. NPPES

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

DR. OLIN BEVERLY MAULDIN JR. M.D. (NPI 1154380285) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME54094) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154380285
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. OLIN BEVERLY MAULDIN JR.Credential: M.D.
Location Address6271 SAINT AUGUSTINE RD, UFJP SAN JOSE PEDIATRIC AND ADOLESCENTER CENTERJacksonville, FL 32217-2523
Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008
Phone(904) 633-0460
Fax(904) 633-0461
Sole ProprietorNo
Enumeration DateMarch 18, 2006
Last NPPES UpdateSeptember 11, 2008
✔ NPI 1154380285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME54094
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.
6271 SAINT AUGUSTINE RD, Jacksonville, FL 32217
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Other Identifiers 5

Medicare UPIND51943FL
Medicaid000473789AGA
Medicaid0376370-02FL
Other370001193FL · Railroad Medicare
Medicare PIN07549ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olin Beverly Mauldin Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Olin Mauldin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc
6.6 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32217 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

SUSAN S MOORE MD
Pediatrics
6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217
Duval County (904) 633-0460
DR. DAVID OMER CHILDERS JR. M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
6271 SAINT AUGUSTINE RD, UFJP DEVELOPMENTAL PEDIATRICS
JACKSONVILLE, FL 32217
Duval County (904) 633-0770
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC
Pediatrics (Developmental - Behavioral Pediatrics)
6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217
Duval County (904) 633-0750
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Pediatrics
6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217
Duval County (904) 633-0460
MARY ELSIELYNN CARRIGAN ARNP
Nurse Practitioner (Family)
6271 SAINT AUGUSTINE RD, UFJAX - DEPT. OF PEDIATRICES
JACKSONVILLE, FL 32217
Duval County (904) 633-0926
CARMELA LYDIA TARDO MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6271 SAINT AUGUSTINE RD, UFJP DEVELOPMENTAL PEDIATRICS
JACKSONVILLE, FL 32217
Duval County (904) 633-0750
DR. TAJVAR H GOUDARZI MD
Pediatrics
6271 SAINT AUGUSTINE RD, UFJP SAN JOSE PEDS AND ADOLESCENT CENTER
JACKSONVILLE, FL 32217
Duval County (904) 633-0460

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 Olin Mauldin's NPI number?

The NPI number for Olin Mauldin is 1154380285. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Olin Mauldin located?

Olin Mauldin practices at 6271 Saint Augustine Rd Ufjp San Jose Pediatric And Adolescenter Center, Jacksonville, FL 32217. The listed phone number is (904) 633-0460.

What is Olin Mauldin's specialty?

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

Is Olin Mauldin enrolled in Medicare?

Yes. Olin Mauldin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olin Mauldin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olin Mauldin reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). The 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 Olin Mauldin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olin Mauldin was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.