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PEDIATRIC ASSOCIATES OF JULINGTON CREEK
NPI 1235276254
Pediatrics in Jacksonville, FL

Active since January 31, 2007CLIA Certified · 2 labs
1631 RACE TRACK RD STE 101, JACKSONVILLE, FL 32259(904) 230-7977(904) 230-7979 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Associates Of Julington Creek NPPES

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

PEDIATRIC ASSOCIATES OF JULINGTON CREEK (NPI 1235276254) is a healthcare organization registered as a pediatrics in Jacksonville, Florida and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Mary Ann Garcia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235276254
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF JULINGTON CREEK
Location Address1631 RACE TRACK RD STE 101Jacksonville, FL 32259-3233
Mailing Address1631 Race Track Road Suite 101Jacksonville, FL 32259 · (904) 230-7977 · Fax (904) 230-7979
Phone(904) 230-7977
Fax(904) 230-7979
Organization SubpartNo
Authorized OfficialMary Ann GarciaCeo · (904) 230-7977
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235276254 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.
1631 RACE TRACK RD STE 101, Jacksonville, FL 32259
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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

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 2

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 10D1022142

Pediatric Associates Of Julington Creek · Jacksonville, FL
Active · expires Feb 8, 2028
CLIA Number10D1022142
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorMary A. Garcia
Laboratory Phone(904) 880-8188
Laboratory LocationPediatric Associates Of Julington Creek1631 Race Track Rd Ste 101, Jacksonville, FL 32259
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D2224971

Pediatric Associates · St Johns, FL
Active · expires Sep 23, 2027
CLIA Number10D2224971
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorGiselle Habet
Laboratory Phone(954) 965-7754
Laboratory LocationPediatric Associates155 Bartram Market Dr Suite 120, St Johns, FL 32259
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MRS. CLAIRE SOLOMON BASCO APRN
Nurse Practitioner (Pediatrics)
1631 RACE TRACK RD STE 101
JACKSONVILLE, FL 32259
St. Johns County (904) 230-7977
MRS. TAMI LEIGH NEWBERN ARNP
Nurse Practitioner (Pediatrics)
1631 RACE TRACK RD STE 101
SAINT JOHNS, FL 32259
St. Johns County (904) 230-7977
DR. VICTOR JOSEPH LUZ MD
Pediatrics
1631 RACE TRACK RD STE 101
JACKSONVILLE, FL 32259
St. Johns County (904) 230-7977

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 Pediatric Associates Of Julington Creek's NPI number?

The NPI number for Pediatric Associates Of Julington Creek is 1235276254. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Pediatric Associates Of Julington Creek located?

Pediatric Associates Of Julington Creek is located at 1631 Race Track Rd Ste 101, Jacksonville, FL 32259. The listed phone number is (904) 230-7977.

What is Pediatric Associates Of Julington Creek's specialty?

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

Does Pediatric Associates Of Julington Creek hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pediatric Associates Of Julington Creek accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Associates Of Julington Creek 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 Pediatric Associates Of Julington Creek was last updated on August 22, 2020. 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.