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ISLAND PEDIATRICS
NPI 1841231610
Pediatrics in Orange Park, FL

Active since June 10, 2006CLIA 10D0266923 · Waiver
4611 US HIGHWAY 17, SUITE 2, ORANGE PARK, FL 32003(904) 264-4333(904) 264-4301 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Island Pediatrics NPPES

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

ISLAND PEDIATRICS (NPI 1841231610) is a healthcare organization registered as a pediatrics in Orange Park, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Shelly L. Hall, President, as its authorized official.

NPPES Registry Identity

NPI1841231610
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHELLY L. HALL M.D., P.A.
Location Address4611 US HIGHWAY 17, SUITE 2Orange Park, FL 32003-8245
Mailing Address4611 Us Highway 17, Suite 2Orange Park, FL 32003-8245 · (904) 264-4333 · Fax (904) 264-4301
Phone(904) 264-4333
Fax(904) 264-4301
Organization SubpartNo
Authorized OfficialShelly L. HallPresident · (904) 264-4333
Enumeration DateJune 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841231610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME0061916
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.
4611 US HIGHWAY 17, Orange Park, FL 32003
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Other Names 1

Doing Business AsIsland Pediatrics

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D0266923

Island Pediatrics · Fleming Island, FL
Active · expires Jul 18, 2028
CLIA Number10D0266923
Laboratory TypeOther
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorShelly L. Hall MD
Laboratory Phone(904) 264-4333
Laboratory LocationIsland Pediatrics4611 Highway 17 Suite 2, Fleming Island, FL 32003
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 4

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

JENNIFER E FORDAN-HERMAN MD
Pediatrics
4611 US HIGHWAY 17
FLEMING ISLAND, FL 32003
Duval County (904) 264-4333
KELSEY RHEA HOLMES APRN
Clinical Nurse Specialist (Pediatrics)
4611 US HIGHWAY 17
FLEMING ISLAND, FL 32003
Duval County (904) 264-4333
AMY LOHRKE GARRETT M.D.
Pediatrics
4611 US HIGHWAY 17, SUITE 2
ORANGE PARK, FL 32003
Duval County (904) 264-4333
DR. SHELLY L HALL MD
Pediatrics
4611 US HIGHWAY 17
ORANGE PARK, FL 32003
Duval County (904) 264-4333

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 Shelly L. Hall M.D., P.A.'s NPI number?

The NPI number for Shelly L. Hall M.D., P.A. is 1841231610. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Island Pediatrics.

Where is Shelly L. Hall M.D., P.A. located?

Shelly L. Hall M.D., P.A. is located at 4611 Us Highway 17 Suite 2, Orange Park, FL 32003. The listed phone number is (904) 264-4333.

What is Shelly L. Hall M.D., P.A.'s specialty?

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

Does Shelly L. Hall M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0266923) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shelly L. Hall M.D., P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shelly L. Hall M.D., P.A. 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 Shelly L. Hall M.D., P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.