JACKSONVILLE LUNG CLINIC LLC
NPI 1861991937
Internal Medicine - Critical Care Medicine in Jacksonville Beach, FL
- Organization
- Internal Medicine
- Critical Care Medicine
- Accepts Insurance
About JACKSONVILLE LUNG CLINIC LLC
This page provides the complete NPI Profile along with additional information for Jacksonville Lung Clinic Llc, an internist established in Jacksonville Beach, Florida operating as a Internal Medicine, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1861991937 assigned on February 2018. The practitioner's primary taxonomy code is 207RC0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Jacksonville Lung Clinic Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Chad Pew (Vice President)
- NPI
- 1861991937 Verify this NPI
- Provider Name
- JACKSONVILLE LUNG CLINIC LLC
- Entity Type
- Organization
- Location Address
- 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250
- Location Phone
- (904) 627-2900
- Location Fax
- (904) 253-3098
- Mailing Address
- 7500 RIALTO BLVD AUSTIN, TX 78735
- Mailing Phone
- (512) 730-3060
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-05-2018
- Last Update Date
- 01-07-2025
- Code Navigator
An internist like Jacksonville Lung Clinic Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 7500 Rialto Blvd Ste 1-140
Austin, TX 78735
(512) 730-3060
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Critical Care Medicine
- Taxonomy Code
- 207RC0200X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 022274400 | MEDICAID (05) | FL |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
JACKSONVILLE BEACH, FL 32250
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861991937, enumerated as an "organization" on February 05, 2018.
The provider is located at 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 and the phone number is (904) 627-2900.
Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.
The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
