1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Pediatrics
  6. NPI Profile

DR. AMY WINTERBOTHAM HARDMAN MD
NPI 1629061932
Pediatrics - Adolescent Medicine in Jacksonville, FL

Active since August 23, 2005PECOS Enrolled
2121 PARK ST, JACKSONVILLE, FL 32204(904) 387-6200(904) 387-0261 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Amy Winterbotham Hardman Md NPPES

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

DR. AMY WINTERBOTHAM HARDMAN MD (NPI 1629061932) is an individual adolescent medicine provider in Jacksonville, Florida, licensed in Florida (ME 76418) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629061932
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. AMY WINTERBOTHAM HARDMANCredential: MD
Location Address2121 PARK STJacksonville, FL 32204-3811
Mailing Address2121 Park StJacksonville, FL 32204-3811 · (904) 387-6200 · Fax (904) 387-0261
Phone(904) 387-6200
Fax(904) 387-0261
Sole ProprietorNo
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 13, 2017
✔ NPI 1629061932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in FL · ME 76418
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License ME76418 (FL)
2121 PARK ST, Jacksonville, FL 32204
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING80779FL
Medicaid259018200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amy Winterbotham Hardman Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Hardman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Im Sulzbacher Center For The Homeless, Inc
2.3 mi
Federally Qualified Health Center (FQHC)
611 E ADAMS ST
Jacksonville, FL 32202
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1710051354 (904) 394-8070
University Of Florida Jacksonville Physicians Inc
2.5 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ANDREAE AREY SHAW M.D.
Pediatrics
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200
DR. THOMAS J CONNOLLY MD/
Pediatrics (Adolescent Medicine)
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200
MICHELLE C MCCREARY MD
Pediatrics
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200
MRS. LETISHA RENEE BRAZILE JEFFERSON MD
Pediatrics
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200
LINDSAY J WOLF ARNP
Nurse Practitioner (Pediatrics)
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200
ABBY SAPP APRN
Nurse Practitioner (Pediatrics)
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200
THE CARITHERS PEDIATRIC GROUP
Pediatrics (Adolescent Medicine)
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200
DR. WENDY V SAPOLSKY MD
Pediatrics (Adolescent Medicine)
2121 PARK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-6200

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 Amy Hardman's NPI number?

The NPI number for Amy Hardman is 1629061932. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Amy Hardman located?

Amy Hardman practices at 2121 Park St, Jacksonville, FL 32204. The listed phone number is (904) 387-6200.

What is Amy Hardman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Amy Hardman enrolled in Medicare?

Yes. Amy Hardman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Hardman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Hardman reassigns Medicare benefits to 2 organizations: Im Sulzbacher Center For The Homeless, Inc (Jacksonville, FL) and University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). Each 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 Amy Hardman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Hardman was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.