PAUL D. ZAWATSKY, MD, PA
NPI 1265704530
Clinic/Center - Primary Care in Jacksonville, FL
About Paul D. Zawatsky, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL D. ZAWATSKY, MD, PA (NPI 1265704530) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since February 2012. The organization lists Paul D. Zawatsky, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paul D. Zawatsky, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Paul D. Zawatsky, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Jacksonville, FL 32258
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 Paul D. Zawatsky, MD, PA's NPI number?
The NPI number for Paul D. Zawatsky, MD, PA is 1265704530. It was assigned to this organization in the NPPES registry on February 2, 2012.
Where is Paul D. Zawatsky, MD, PA located?
Paul D. Zawatsky, MD, PA is located at 11481 Old Saint Augustine Rd Ste 103, Jacksonville, FL 32258. The listed phone number is (904) 260-8424.
What is Paul D. Zawatsky, MD, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Paul D. Zawatsky, MD, PA enrolled in Medicare?
Yes. Paul D. Zawatsky, MD, PA is registered in the Medicare PECOS enrollment system.
When is Paul D. Zawatsky, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Paul D. Zawatsky, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Paul D. Zawatsky, MD, PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Paul D. Zawatsky, MD, PA was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Paul D. Zawatsky, Md, Pa · NPI 1265704530
Primary Care organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since February 2, 2012.
## Identity
- **NPI:** 1265704530 (Entity type: Organization)
- **Enumerated:** February 2, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Paul Zawatsky, PRESIDENT
## Practice location
- **Address:** 11481 OLD SAINT AUGUSTINE RD STE 103, Jacksonville, FL 32258-1474
- **Phone:** (904) 260-8424 · **Fax:** (904) 341-4777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265704530) · Data from the CMS NPPES public registry.