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MEDICAL SPECIALISTS OF NORTHEAST FLORIDA PLLC
NPI 1285938936
Internal Medicine in Jacksonville, FL

Active since January 10, 2011
6428 BEACH BLVD STE 1A, JACKSONVILLE, FL 32216(904) 342-0816(904) 342-0553 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2025, Nov 10, 2022, Sep 29, 2021 and 3 more (6 updates tracked since 2016).

About Medical Specialists Of Northeast Florida Pllc NPPES

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

MEDICAL SPECIALISTS OF NORTHEAST FLORIDA PLLC (NPI 1285938936) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since January 2011. The organization maintains a secondary practice location in St Augustine and lists Madhu Sharam, Member, as its authorized official.

NPPES Registry Identity

NPI1285938936
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL SPECIALISTS OF NORTHEAST FLORIDA PLLC
Location Address6428 BEACH BLVD STE 1AJacksonville, FL 32216-2813
Mailing Address6428 Beach Blvd Ste 1aJacksonville, FL 32216-2813 · (904) 475-2039 · Fax (904) 330-0668
Phone(904) 342-0816
Fax(904) 342-0553
Organization SubpartNo
Authorized OfficialMadhu SharamMember · (904) 718-3184
Enumeration DateJanuary 10, 2011
Last NPPES UpdateSeptember 15, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1285938936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6428 BEACH BLVD STE 1A, Jacksonville, FL 32216
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Secondary Practice Location 1

Location 11100 S Ponce De Leon Blvd Ste 3ASt Augustine, FL 32084-6013 · Phone (904) 475-2039 · Fax (904) 330-0668

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Specialists Of Northeast Florida Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Medical Specialists Of Northeast Florida PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Internal Medicine1
Mental Health Counselor1

Clinicians, nearest first (10)

Darlene Burch, PMHNP-BC
Nurse Practitioner
NPI 1083499412
6428 BEACH BLVD
Jacksonville, FL 32216
(904) 475-2039
✔ PECOS✔ Accepts MedicareSame address
Salia Campbell
Nurse Practitioner
NPI 1073294161
6428 BEACH BLVD
Jacksonville, FL 32216
(904) 894-3161
✔ PECOSSame address
Manuel Gervasio Dicks
Nurse Practitioner
NPI 1184130916
6428 BEACH BLVD
Jacksonville, FL 32216
(904) 475-2039
✔ PECOS✔ Accepts MedicareSame address
George Camacho, M.D.
Internal Medicine
NPI 1538154596
4131 UNIVERSITY BLVD S STE 8
Jacksonville, FL 32216
(904) 733-3992
✔ PECOS✔ Accepts Medicare0.6 mi
Chelie Toler Buckley, PMHNP, APRN
Nurse Practitioner
NPI 1902573256
103 CENTURY 21 DR STE 213
Jacksonville, FL 32216
(904) 475-2039
✔ PECOS✔ Accepts Medicare2.1 mi
Tony Echols, APRN
Nurse Practitioner
NPI 1205327228
4250 PHILIPS HWY # 100
Jacksonville, FL 32207
(904) 839-1018
✔ PECOS✔ Accepts Medicare2.2 mi
Veronica Bartley, APRN
Nurse Practitioner
NPI 1851851554
819 TOWNSEND BLVD
Jacksonville, FL 32211
(904) 374-3311
✔ PECOS✔ Accepts Medicare3.0 mi
Arlene Johnson, NP
Nurse Practitioner
NPI 1811748619
5011 GATE PKWY STE 100
Jacksonville, FL 32256
(904) 901-7913
✔ PECOS4.7 mi
Stacey Grant
Mental Health Counselor
NPI 1184278749
4243 SUNBEAM RD
Jacksonville, FL 32257
(904) 443-4692
✔ PECOS✔ Accepts Medicare5.8 mi
Robin Belcher-Howard, ARNP
Nurse Practitioner
NPI 1104292200
3333 W 20TH ST
Jacksonville, FL 32254
(904) 695-9145
✔ PECOS✔ Accepts Medicare9.1 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 Medical Specialists Of Northeast Florida PLLC's NPI number?

The NPI number for Medical Specialists Of Northeast Florida PLLC is 1285938936. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is Medical Specialists Of Northeast Florida PLLC located?

Medical Specialists Of Northeast Florida PLLC is located at 6428 Beach Blvd Ste 1A, Jacksonville, FL 32216. The listed phone number is (904) 342-0816.

What is Medical Specialists Of Northeast Florida PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Medical Specialists Of Northeast Florida PLLC enrolled in Medicare?

Yes. Medical Specialists Of Northeast Florida PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Specialists Of Northeast Florida PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Medical Specialists Of Northeast Florida PLLC. 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. The largest specialties are Nurse Practitioner (8), Internal Medicine (1) and Mental Health Counselor (1). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Specialists Of Northeast Florida PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Medical Specialists Of Northeast Florida PLLC 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 Medical Specialists Of Northeast Florida PLLC was last updated on September 15, 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.