MRS. JUANITA DENAE BRACY PA-C, MPA, ATC, MED.
NPI 1396855813
Physician Assistant in St Johns, FL

Q: What is Juanita Bracy's NPI number?

The NPI number for Juanita Bracy is 1396855813. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Ms. Juanita Denae Holley Atc.

Q: What is Juanita Bracy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Juanita Bracy was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

3055 COUNTY ROAD 210 W STE 110, ST JOHNS, FL 32259(214) 580-7277 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2025, Feb 22, 2022 (2 updates tracked since 2022).

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About Mrs. Juanita Denae Bracy Pa-c, Mpa, Atc, Med. NPPES

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

MRS. JUANITA DENAE BRACY PA-C, MPA, ATC, MED. (NPI 1396855813) is an individual physician assistant in St Johns, Florida, licensed in Florida (PA9118228) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 12 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396855813

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. JUANITA DENAE BRACYCredential: PA-C, MPA, ATC, MED.

Location Address3055 COUNTY ROAD 210 W STE 110St Johns, FL 32259-7001

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0203

Phone(214) 580-7277

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1396855813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9118228

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 012000864 (VA)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 306479 (NC), PA60497 (CA), PA15256 (TX)

3055 COUNTY ROAD 210 W STE 110, St Johns, FL 32259

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Other Names 1

Former Name (1)Ms. Juanita Denae Holley Atc

Secondary Practice Locations 12

Location 115255 Max Legget Pkwy Ste 5300Jacksonville, FL 32218-7274 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 245 Groover Loop Ste 201St Augustine, FL 32086-6586 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 34268 Oldfield Crossing Dr Ste 201Jacksonville, FL 32223-8800 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 42 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 52300 Park Ave Ste 206Orange Park, FL 32073-5573 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 6216 Southpark Cir E Ste 216Saint Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 74565 US Highway 17 Ste 200Fleming Island, FL 32003-4823 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 8232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 92627 Riverside Ave Ste 300Jacksonville, FL 32204-4717 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 1010475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 111690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 122110 Herschel StJacksonville, FL 32204-3820 · Phone (904) 634-0640 · Fax (904) 634-0203

Other Identifiers 4

MedicaidPA15256TX

Medicaid125670500FL

Other0070402592CA · Nata Boc

Other0126000864VA · Atc Virginia License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Juanita Denae Bracy Pa-c, Mpa, Atc, Med. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153716196

PECOS Enrollment IDI20250213001471

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 32259 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 9

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

KAYLA JEANNE STADIUS PT, DPT, EP-C

Physical Therapist