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PEDIATRIC ASSOCIATES OF JACKSONVILLE, PA
NPI 1811954126
Pediatrics in Ponte Vedra Beach, FL

Active since April 28, 2006CLIA 10D0995491 · Waiver
2 FAIRFIELD BLVD, SUITE #11, PONTE VEDRA BEACH, FL 32082(904) 273-6533(904) 280-7369 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Associates Of Jacksonville, Pa NPPES

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

PEDIATRIC ASSOCIATES OF JACKSONVILLE, PA (NPI 1811954126) is a healthcare organization registered as a pediatrics in Ponte Vedra Beach, Florida and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Aylin Ozdemir, Pediatrician/president, as its authorized official.

NPPES Registry Identity

NPI1811954126
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF JACKSONVILLE, PA
Location Address2 FAIRFIELD BLVD, SUITE #11Ponte Vedra Beach, FL 32082-4626
Mailing Address2 Fairfield Blvd, Suite #11Ponte Vedra Beach, FL 32082-4626 · (904) 273-6533 · Fax (904) 280-7369
Phone(904) 273-6533
Fax(904) 280-7369
Organization SubpartNo
Authorized OfficialAylin OzdemirPediatrician/president · (904) 273-6533
Enumeration DateApril 28, 2006
Last NPPES UpdateMarch 7, 2008
✔ NPI 1811954126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
2 FAIRFIELD BLVD, Ponte Vedra Beach, FL 32082
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Other Identifiers 1

Other99995Bluecross Blueshield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 Waiver 10D0995491

Pediatric Associates Of Jacksonville PA · Ponte Vedra Beach, FL
Active · expires Apr 24, 2027
CLIA Number10D0995491
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorVictor B. Patel
Laboratory Phone(904) 273-6533
Laboratory LocationPediatric Associates Of Jacksonville PA1102 A1a North Ste #104, Ponte Vedra Beach, FL 32082
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

GARY WORTSMAN LMT
Naturopath
2 FAIRFIELD BLVD, SUITE 5
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 543-1311
THE MOTTAS COMPANY
Home Health
2 FAIRFIELD BLVD, SUITE 4
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 485-0444

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 Pediatric Associates Of Jacksonville, PA's NPI number?

The NPI number for Pediatric Associates Of Jacksonville, PA is 1811954126. It was assigned to this organization in the NPPES registry on April 28, 2006.

Where is Pediatric Associates Of Jacksonville, PA located?

Pediatric Associates Of Jacksonville, PA is located at 2 Fairfield Blvd Suite #11, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 273-6533.

What is Pediatric Associates Of Jacksonville, PA's specialty?

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

Does Pediatric Associates Of Jacksonville, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0995491) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Associates Of Jacksonville, PA accept?

Health plans from AvMed list Pediatric Associates Of Jacksonville, PA 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 Pediatric Associates Of Jacksonville, PA was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.