NORTHWEST JACKSONVILLE PEDIATRICS, P.A.
NPI 1205079662
Pediatrics in Jacksonville, FL

Active since April 15, 2009
3160 EDGEWOOD AVE W, JACKSONVILLE, FL 32209(904) 765-5249(904) 765-0958 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Jacksonville Pediatrics, P.a. NPPES

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

NORTHWEST JACKSONVILLE PEDIATRICS, P.A. (NPI 1205079662) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since April 2009. The organization lists Shelly Holder Thompson, Director, as its authorized official.

NPPES Registry Identity

NPI1205079662
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHWEST JACKSONVILLE PEDIATRICS, P.A.
Location Address3160 EDGEWOOD AVE WJacksonville, FL 32209-2245
Mailing Address3160 Edgewood Ave WJacksonville, FL 32209-2245 · (904) 765-5249 · Fax (904) 765-0958
Fax(904) 765-0958
Organization SubpartNo
Authorized OfficialShelly Holder ThompsonDirector · (904) 765-5249
Enumeration DateApril 15, 2009
NPI 1205079662 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.
3160 EDGEWOOD AVE W, Jacksonville, FL 32209

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Family Medicine
3160 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Pediatrics (Adolescent Medicine)
3160 EDGEWOOD AVE W
JACKSONVILLE, FL 32209
Massage Therapist
3160 EDGEWOOD AVE W
JACKSONVILLE, FL 32209

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 Northwest Jacksonville Pediatrics, P.A.'s NPI number?

The NPI number for Northwest Jacksonville Pediatrics, P.A. is 1205079662. It was assigned to this organization in the NPPES registry on April 15, 2009.

Where is Northwest Jacksonville Pediatrics, P.A. located?

Northwest Jacksonville Pediatrics, P.A. is located at 3160 Edgewood Ave W, Jacksonville, FL 32209. The listed phone number is (904) 765-5249.

What is Northwest Jacksonville Pediatrics, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Northwest Jacksonville Pediatrics, P.A. was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.