LIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA
NPI 1588742977
Internal Medicine in Jacksonville, FL
About Lighthouse Internal Medicine And Primary Care Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE INTERNAL MEDICINE AND PRIMARY CARE PA (NPI 1588742977) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since November 2006. The organization lists Chonglun Xie, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted 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)
Lighthouse Internal Medicine And Primary Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lighthouse Internal Medicine And Primary Care PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Lighthouse Internal Medicine And Primary Care PA's NPI number?
The NPI number for Lighthouse Internal Medicine And Primary Care PA is 1588742977. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Lighthouse Internal Medicine And Primary Care PA located?
Lighthouse Internal Medicine And Primary Care PA is located at 5757 Booth Rd. #200, Jacksonville, FL 32207. The listed phone number is (904) 636-9510.
What is Lighthouse Internal Medicine And Primary Care PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lighthouse Internal Medicine And Primary Care PA enrolled in Medicare?
Yes. Lighthouse Internal Medicine And Primary Care PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lighthouse Internal Medicine And Primary Care PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lighthouse Internal Medicine And Primary Care PA, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lighthouse Internal Medicine And Primary Care PA accept?
Health plans from AvMed and Molina Healthcare list Lighthouse Internal Medicine And Primary Care PA 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 Lighthouse Internal Medicine And Primary Care PA was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lighthouse Internal Medicine And Primary Care Pa · NPI 1588742977
Internal Medicine organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1588742977 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Chonglun Xie, MD
## Practice location
- **Address:** 5757 BOOTH RD., #200, Jacksonville, FL 32207
- **Phone:** (904) 636-9510 · **Fax:** (904) 636-9512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2018
- **Other identifiers:** Medicaid 009831900 (FL); Medicaid 273938100 (FL); Other 40311 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1588742977) · Data from the CMS NPPES public registry.