SUNSHINE SPINE AND PAIN PA
NPI 1215233184
Specialist in Jacksonville, FL

Q: What is Sunshine Spine And Pain PA's NPI number?

The NPI number for Sunshine Spine And Pain PA is 1215233184. It was assigned to this organization in the NPPES registry on February 9, 2011.

Q: What is Sunshine Spine And Pain PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 09, 2011

4788 HODGES BLVD STE 105, JACKSONVILLE, FL 32224(904) 651-8206(904) 900-2221 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sunshine Spine And Pain Pa NPPES

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

SUNSHINE SPINE AND PAIN PA (NPI 1215233184) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since February 2011. The organization maintains a secondary practice location in Orange Park and lists Samka Kurdija, Gm, as its authorized official.

NPPES Registry Identity

NPI1215233184

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSUNSHINE SPINE AND PAIN PA

Location Address4788 HODGES BLVD STE 105Jacksonville, FL 32224-7223

Mailing AddressPo Box 919327Orlando, FL 32891-9327 · (904) 651-8206 · Fax (904) 900-2221

Phone(904) 651-8206

Fax(904) 900-2221

Organization SubpartNo

Authorized OfficialSamka KurdijaGm · (904) 525-2403

Enumeration DateFebruary 9, 2011

Last NPPES UpdateSeptember 3, 2025

NPPES CertifiedSeptember 3, 2025

✔ NPI 1215233184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME84002

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4788 HODGES BLVD STE 105, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 11409 Kingsley Ave Ste 2Orange Park, FL 32073-4582 · Phone (904) 651-8206 · Fax (904) 900-2221

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunshine Spine And Pain Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sunshine Spine And Pain PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Arkam Rehman, MD

Pain Management

NPI 1013920602

4788 HODGES BLVD STE 105
Jacksonville, FL 32224

(904) 651-8206

✔ PECOS✔ Accepts MedicareSame address

Yvonne Derickson, ARNP, FNP-BC

Nurse Practitioner

NPI 1003341280

206 ASHOURIAN AVE STE 209
St Augustine, FL 32092

(904) 800-7246

✔ PECOS✔ Accepts Medicare14 mi

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 Sunshine Spine And Pain PA's NPI number?

The NPI number for Sunshine Spine And Pain PA is 1215233184. It was assigned to this organization in the NPPES registry on February 9, 2011.

Where is Sunshine Spine And Pain PA located?

Sunshine Spine And Pain PA is located at 4788 Hodges Blvd Ste 105, Jacksonville, FL 32224. The listed phone number is (904) 651-8206.

What is Sunshine Spine And Pain PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sunshine Spine And Pain PA enrolled in Medicare?

Yes. Sunshine Spine And Pain PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunshine Spine And Pain PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sunshine Spine And Pain PA, in Nurse Practitioner and Pain Management. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sunshine Spine And Pain PA was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.