PARAGON WOUND CARE
NPI 1568296689
Nurse Practitioner in Jacksonville, FL
About Paragon Wound Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARAGON WOUND CARE (NPI 1568296689) is a healthcare organization registered as a nurse practitioner in Jacksonville, Florida and active in the NPI registry since August 2024. The organization lists Sergey Smirnov, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paragon Wound Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Paragon Wound Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Paragon Wound Care's NPI number?
The NPI number for Paragon Wound Care is 1568296689. It was assigned to this organization in the NPPES registry on August 30, 2024.
Where is Paragon Wound Care located?
Paragon Wound Care is located at 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258. The listed phone number is (904) 404-0093.
What is Paragon Wound Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Paragon Wound Care enrolled in Medicare?
Yes. Paragon Wound Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Paragon Wound Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Paragon Wound Care. 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 (3) and General Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Paragon Wound Care was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Paragon Wound Care · NPI 1568296689
Nurse Practitioner organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since August 30, 2024.
## Identity
- **NPI:** 1568296689 (Entity type: Organization)
- **Enumerated:** August 30, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Sergey Smirnov, PRESIDENT
## Practice location
- **Address:** 12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258-9486
- **Phone:** (904) 404-0093 · **Fax:** (904) 404-0093
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), General Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1568296689) · Data from the CMS NPPES public registry.