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ERICA GALLUP PA-C
NPI 1386398113
Physician Assistant in Jacksonville, FL

Active since February 10, 2022PECOS Enrolled
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 271-6060 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erica Gallup Pa-c NPPES

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

ERICA GALLUP PA-C (NPI 1386398113) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (9115514) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386398113
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERICA GALLUPCredential: PA-C
Location Address14550 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-2460
Mailing Address13803 White Heron PlJacksonville, FL 32224-4804 · (904) 254-6112
Phone(904) 271-6060
Sole ProprietorNo
Enumeration DateFebruary 10, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1386398113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9115514
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14550 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erica Gallup Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JORDAN KUDLAK
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
MRS. RENEE FRANKLIN GOLSON DPT
Physical Therapist
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6575
DYSHELLA ATKINS
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
JONATHAN MICHAEL BONIE RN
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
LAUREN CRAWFORD BREWER
Nurse Practitioner (Pediatrics)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
JOSHUA MCLEAN AGACNP-BC
Nurse Practitioner (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6840
VICKIE CHAPMAN-SHAW
Nurse Practitioner (Neonatal, Critical Care)
14550 OLD SAINT AUGUSTINE RD, NICU
JACKSONVILLE, FL 32258
Duval County (904) 271-6700
LAUREN NICOLE RUDDER BSN, RN
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000

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 Erica Gallup's NPI number?

The NPI number for Erica Gallup is 1386398113. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Erica Gallup located?

Erica Gallup practices at 14550 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 271-6060.

What is Erica Gallup's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erica Gallup enrolled in Medicare?

Yes. Erica Gallup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erica Gallup was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.