PHYSICAL HEALTHCARE OF JACKSONVILLE INC
NPI 1760722011
Internal Medicine in Jacksonville, FL

Q: What is Physical Healthcare Of Jacksonville Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 25, 2013

12620 BEACH BLVD, SUITE 6, JACKSONVILLE, FL 32246(904) 645-0777(904) 645-3483 Get Directions Write a Review

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

Record update history: Apr 18, 2017, Jan 9, 2017, Sep 2, 2016 and 1 more (4 updates tracked since 2016).

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About Physical Healthcare Of Jacksonville Inc NPPES

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

PHYSICAL HEALTHCARE OF JACKSONVILLE INC (NPI 1760722011) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since February 2013. The organization lists Mark A Pierce, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1760722011

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePHYSICAL HEALTHCARE OF JACKSONVILLE INC

Location Address12620 BEACH BLVD, SUITE 6Jacksonville, FL 32246-7131

Mailing Address12620 Beach Blvd, Suite 6Jacksonville, FL 32246-7131 · (904) 645-0777 · Fax (904) 645-3483

Phone(904) 645-0777

Fax(904) 645-3483

Organization SubpartNo

Authorized OfficialMark A PierceClinic Director · (904) 645-0777

Enumeration DateFebruary 25, 2013

Last NPPES UpdateApril 18, 20174 updates tracked since enumeration

✔ NPI 1760722011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME55161

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedChiropractorTaxonomy 111N00000X · License CH6451 (FL), CH6588 (FL), CH4435 (FL)

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License ME0060908 (FL)

Also ListedPhysical TherapistTaxonomy 225100000X · License PT30658 (FL)

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License ME55161 (FL), ME0060908 (FL)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9106788 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP 770742 (FL)

12620 BEACH BLVD, Jacksonville, FL 32246

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Other Identifiers 2

Medicare UPINHF195AFL

Medicare NSC6736700001FL

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.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)

Physical Healthcare Of Jacksonville Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Physical Healthcare Of Jacksonville Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6

Chiropractic4

Internal Medicine1

Clinicians, nearest first (11)

Kyle Jackson, DC

Chiropractic

NPI 1669085718

12620 BEACH BLVD STE 6
Jacksonville, FL 32246

(904) 645-0777

✔ Accepts MedicareSame address

Molly White, APRN, FNP-C

Nurse Practitioner

NPI 1275211856

12620 BEACH BLVD STE 6
Jacksonville, FL 32246

(904) 635-0777

✔ PECOS✔ Accepts MedicareSame address

Mark Pierce, D.C

Chiropractic

NPI 1962448209

12620 BEACH BLVD SUITE 6
Jacksonville, FL 32246

(904) 645-0777

✔ Accepts MedicareSame address

Matthew Pierce, D.C.

Chiropractic

NPI 1639182264

12620 BEACH BLVD SUITE 6
Jacksonville, FL 32246

(904) 645-0777

✔ Accepts MedicareSame address

Marc Blatt, D.O.

Internal Medicine

NPI 1861498131

8773 PERIMETER PARK CT
Jacksonville, FL 32216

(904) 493-3390

✔ PECOS✔ Accepts Medicare4.6 mi

Carneisha Myles, ARNP

Nurse Practitioner

NPI 1427590470

8773 PERIMETER PARK CT
Jacksonville, FL 32216

(904) 493-3390

✔ PECOS✔ Accepts Medicare4.6 mi

Alexis Aulisio, NP-C

Nurse Practitioner

NPI 1720326572

905 BEACH BLVD STE A
Jacksonville Beach, FL 32250

(042) 418-3009

✔ PECOS✔ Accepts Medicare5.3 mi

Janice Miciano, APRN

Nurse Practitioner

NPI 1093352809

8613 OLD KINGS RD SOUTH. SUITE 602
Jacksonville, FL 32217

(904) 493-3390

✔ PECOS✔ Accepts Medicare7.6 mi

Rebecca Morris, ARNP

Nurse Practitioner

NPI 1346633393

7406 FULLERTON ST STE 105
Jacksonville, FL 32256

(904) 802-6800

✔ PECOS7.8 mi

Alexandria Young, APRN

Nurse Practitioner

NPI 1639877848

1301 PALM AVE STE 100
Jacksonville, FL 32207

(904) 202-7300

✔ PECOS✔ Accepts Medicare11 mi

Joseph Musa, D.C.

Chiropractic

NPI 1053476978

19533 HIGHLAND OAKS DRIVE SUITE 120
Estero, FL 33928

(239) 354-7744

✔ Accepts Medicare265 mi

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

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 Physical Healthcare Of Jacksonville Inc's NPI number?

The NPI number for Physical Healthcare Of Jacksonville Inc is 1760722011. It was assigned to this organization in the NPPES registry on February 25, 2013.

Where is Physical Healthcare Of Jacksonville Inc located?

Physical Healthcare Of Jacksonville Inc is located at 12620 Beach Blvd Suite 6, Jacksonville, FL 32246. The listed phone number is (904) 645-0777.

What is Physical Healthcare Of Jacksonville Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Physical Healthcare Of Jacksonville Inc enrolled in Medicare?

Yes. Physical Healthcare Of Jacksonville Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physical Healthcare Of Jacksonville Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Physical Healthcare Of Jacksonville 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. The largest specialties are Nurse Practitioner (6), Chiropractic (4) and Internal Medicine (1). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Physical Healthcare Of Jacksonville Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Physical Healthcare Of Jacksonville 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 Physical Healthcare Of Jacksonville Inc was last updated on April 18, 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.