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DR. ANDREA ELLEN CLARK SHAH M.D.
NPI 1487987491
Pediatrics in Jacksonville, FL

Active since September 09, 2009
14810 OLD SAINT AUGUSTINE RD STE 106, JACKSONVILLE, FL 32258(904) 268-7701(904) 268-9708 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Dec 28, 2018, Nov 19, 2015 (3 updates tracked since 2015).

About Dr. Andrea Ellen Clark Shah M.d. NPPES

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

DR. ANDREA ELLEN CLARK SHAH M.D. (NPI 1487987491) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME91797) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1487987491
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ANDREA ELLEN CLARK SHAHCredential: M.D.
Location Address14810 OLD SAINT AUGUSTINE RD STE 106Jacksonville, FL 32258-2558
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 268-7701
Fax(904) 268-9708
Sole ProprietorNo
Enumeration DateSeptember 9, 2009
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1487987491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME91797
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.
14810 OLD SAINT AUGUSTINE RD STE 106, Jacksonville, FL 32258
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Other Identifiers 1

Medicaid008434500FL

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

JOSEPH R FRANK MD
Pediatrics
14810 OLD SAINT AUGUSTINE RD STE 106
JACKSONVILLE, FL 32258
Duval County (904) 268-7701
MRS. ROBIN PAYLOR JOHNSON APRN
Nurse Practitioner
14810 OLD SAINT AUGUSTINE RD STE 106
JACKSONVILLE, FL 32258
Duval County (904) 268-7701
VIRGINIA GIBSON BLACK M.D.
Pediatrics
14810 OLD SAINT AUGUSTINE RD STE 106, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32258
Duval County (904) 268-7701
JERRY ALAN BRIDGHAM MD
Pediatrics (Adolescent Medicine)
14810 OLD SAINT AUGUSTINE RD STE 106, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32258
Duval County (904) 268-7701

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 Andrea Shah's NPI number?

The NPI number for Andrea Shah is 1487987491. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Andrea Shah located?

Andrea Shah practices at 14810 Old Saint Augustine Rd Ste 106, Jacksonville, FL 32258. The listed phone number is (904) 268-7701.

What is Andrea Shah's specialty?

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

What insurance does Andrea Shah accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Andrea Shah 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 Andrea Shah was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.