MRS. MARY E LOTT M.D.
NPI 1629294665
Pediatrics in Jacksonville, FL

Q: What is Mary Lott's NPI number?

The NPI number for Mary Lott is 1629294665. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Mary Lott's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Lott was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 18, 2007

2606 PARK ST, JACKSONVILLE, FL 32204(904) 388-4646 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Apr 21, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Mrs. Mary E Lott M.d. NPPES

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

MRS. MARY E LOTT M.D. (NPI 1629294665) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME131370) and active in the NPI registry since April 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629294665

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. MARY E LOTTCredential: M.D.

Location Address2606 PARK STJacksonville, FL 32204-4520

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (904) 388-4646

Phone(904) 388-4646

Sole ProprietorNo

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1629294665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in FL · ME131370✔ Licensed in GA · 62137

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.

Also ListedPediatrics · Hospice and Palliative MedicineTaxonomy 2080H0002X · License 001265 (GA)

2606 PARK ST, Jacksonville, FL 32204

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Secondary Practice Locations 2

Location 1218 Quarterman StWaycross, GA 31501 · Phone (912) 287-0301 · Fax (912) 287-1568

Location 2711 Charles Gilman Jr Ave Ste BKingsland, GA 31548-5664 · Phone (912) 510-9728 · Fax (912) 510-9752

Other Identifiers 5

Medicaid369518390EGA

Other001265GA · Residency License

Other52319773GA · Bcbs

OtherPENDINGFL · Medicare

OtherGRP2665GA · Employer Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

JACKSONVILLE PEDIATRICS

Pediatrics (Adolescent Medicine)