JACKSONVILLE 2 VA CLINIC
NPI 1649678988
Clinic/Center - VA in Jacksonville, FL

Active since December 19, 2014CLIA 10D1106852 · Accreditation
145 HERON BAY RD, JACKSONVILLE, FL 32218(866) 793-4591 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 5, 2024, Mar 28, 2023 (2 updates tracked since 2023).

About Jacksonville 2 Va Clinic NPPES

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

JACKSONVILLE 2 VA CLINIC (NPI 1649678988) is a healthcare organization registered as a va in Jacksonville, Florida and active in the NPI registry since December 2014. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1649678988
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameGAINESVILLE VAMC
Location Address145 HERON BAY RDJacksonville, FL 32218-3595
Mailing AddressPo Box 94468Cleveland, OH 44101-4468 · (866) 793-4591
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateDecember 19, 2014
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1649678988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
145 HERON BAY RD, Jacksonville, FL 32218

Other Names 1

Other NameJacksonville 2 Va Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D1106852

Jacksonville North VA Clinic · Jacksonville, FL
Active · expires Sep 30, 2026
CLIA Number10D1106852
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 23, 2009
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRobert W. Allan
Laboratory Phone(904) 470-6900
Laboratory LocationJacksonville North VA Clinic145 Heron Bay Road, Jacksonville, FL 32218
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Psychiatry & Neurology (Psychiatry)
145 HERON BAY RD
JACKSONVILLE, FL 32218
Social Worker (Clinical)
145 HERON BAY RD
JACKSONVILLE, FL 32218
Student in an Organized Health Care Education/Training Program
145 HERON BAY RD
JACKSONVILLE, FL 32218
Internal Medicine
145 HERON BAY RD
JACKSONVILLE, FL 32218
Nurse Practitioner (Family)
145 HERON BAY RD
JACKSONVILLE, FL 32218
Nurse Practitioner (Primary Care)
145 HERON BAY RD
JACKSONVILLE, FL 32218
Respiratory Therapist, Registered
145 HERON BAY RD
JACKSONVILLE, FL 32218
Nurse Practitioner (Family)
145 HERON BAY RD
JACKSONVILLE, FL 32218

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 Gainesville Vamc's NPI number?

The NPI number for Gainesville Vamc is 1649678988. It was assigned to this organization in the NPPES registry on December 19, 2014. The provider is also known as Jacksonville 2 VA Clinic.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 145 Heron Bay Rd, Jacksonville, FL 32218. The listed phone number is (866) 793-4591.

What is Gainesville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Gainesville Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D1106852) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gainesville Vamc was last updated on April 5, 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.