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AUTUMN LEE CHIM PA-C
NPI 1689054538
Physician Assistant in Jacksonville, FL

Active since June 05, 2015
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Oct 12, 2022, Jan 13, 2021 and 1 more (4 updates tracked since 2020).

About Autumn Lee Chim Pa-c NPPES

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

AUTUMN LEE CHIM PA-C (NPI 1689054538) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9116378) and active in the NPI registry since June 2015. She maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1689054538
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUTUMN LEE CHIMCredential: PA-C
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Phone(904) 953-2000
Sole ProprietorNo
Enumeration DateJune 5, 2015
Last NPPES UpdateDecember 13, 20224 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1689054538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9116378✔ Licensed in TX · PA13281
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4500 SAN PABLO RD S, Jacksonville, FL 32224
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Secondary Practice Location 1

Location 12401 S 31st StTemple, TX 76508-5341 · Phone (254) 724-2111

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.

KATHERINE L WALSH PA-C/MPH
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
DR. JAMI ANN ROTHE KINNUCAN M.D.
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
GLENN SHI MD
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MICHELLE TULANG MD
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
RICARDO PAGAN MD
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
CRYSTAL LYNN CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
LAUREN E FREED CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MRS. MELINA VOLNER SOMMESE PA-C
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2594

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 Autumn Chim's NPI number?

The NPI number for Autumn Chim is 1689054538. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Autumn Chim located?

Autumn Chim practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Autumn Chim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Autumn Chim was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.