AFA PAIN SPECIALISTS, INC
NPI 1679964449
Pain Medicine - Interventional Pain Medicine in Orange Park, FL

Q: What is Afa Pain Specialists, Inc's NPI number?

The NPI number for Afa Pain Specialists, Inc is 1679964449. It was assigned to this organization in the NPPES registry on February 13, 2015.

Q: What is Afa Pain Specialists, Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since February 13, 2015CLIA Certified · 2 labs

728 BLANDING BLVD, SUITE C, ORANGE PARK, FL 32065(904) 639-6747(904) 639-6769 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2015, Oct 1, 2015 (2 updates tracked since 2015).

On this page

About Afa Pain Specialists, Inc NPPES

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

AFA PAIN SPECIALISTS, INC (NPI 1679964449) is a healthcare organization registered as an interventional pain medicine in Orange Park, Florida and active in the NPI registry since February 2015. The organization holds 2 active CLIA laboratory certificates and lists Shariq Latif, President, as its authorized official.

NPPES Registry Identity

NPI1679964449

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameAFA PAIN SPECIALISTS, INC

Location Address728 BLANDING BLVD, SUITE COrange Park, FL 32065-7728

Mailing AddressPo Box 65748Orange Park, FL 32065-0013 · (904) 639-6747 · Fax (904) 639-6769

Phone(904) 639-6747

Fax(904) 639-6769

Organization SubpartNo

Authorized OfficialShariq LatifPresident · (904) 654-3918

Enumeration DateFebruary 13, 2015

Last NPPES UpdateDecember 2, 20152 updates tracked since enumeration

✔ NPI 1679964449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in FL · ME113190

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME113190 (FL)

728 BLANDING BLVD, Orange Park, FL 32065

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Other Identifiers 1

Medicare PINIC755AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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)

Afa Pain Specialists, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Afa Pain Specialists, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shariq Latif, M.D.

Anesthesiology

NPI 1275506818

3 BOULDER ROCK DR
Palm Coast, FL 32137

(770) 850-8464

✔ PECOS✔ Accepts Medicare52 mi

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

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 10D2094553

Afa Pain Specialists Inc · Orange Park, FL

Active · expires Apr 20, 2027

CLIA Number10D2094553

Laboratory TypePhysician Office

Certificate Effective DateApril 21, 2025

Certificate Expiration DateApril 20, 2027

Laboratory DirectorLatif Shariq

Laboratory Phone(904) 654-3918

Laboratory LocationAfa Pain Specialists Inc728 Blanding Blvd Ste C, Orange Park, FL 32065

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2121423

Afa Pain Specialists · Palm Coast, FL

Active · expires Nov 3, 2026

CLIA Number10D2121423

Laboratory TypePhysician Office

Certificate Effective DateNovember 4, 2024

Certificate Expiration DateNovember 3, 2026

Laboratory DirectorLatif Shariq

Laboratory Phone(904) 639-6747

Laboratory LocationAfa Pain Specialists393 Palm Coast Pkwy SW Unit 1 And 2, Palm Coast, FL 32137

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Afa Pain Specialists, Inc's NPI number?

The NPI number for Afa Pain Specialists, Inc is 1679964449. It was assigned to this organization in the NPPES registry on February 13, 2015.

Where is Afa Pain Specialists, Inc located?

Afa Pain Specialists, Inc is located at 728 Blanding Blvd Suite C, Orange Park, FL 32065. The listed phone number is (904) 639-6747.

What is Afa Pain Specialists, Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Afa Pain Specialists, Inc enrolled in Medicare?

Yes. Afa Pain Specialists, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Afa Pain Specialists, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Afa Pain Specialists, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Afa Pain Specialists, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Afa Pain Specialists, Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Molina Healthcare list Afa Pain Specialists, Inc 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 Afa Pain Specialists, Inc was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.