JACKSONVILLE LUNG CLINIC LLC
NPI 1861991937
Internal Medicine - Critical Care Medicine in Jacksonville Beach, FL
About Jacksonville Lung Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSONVILLE LUNG CLINIC LLC (NPI 1861991937) is a healthcare organization registered as a critical care medicine in Jacksonville Beach, Florida and active in the NPI registry since February 2018. The organization maintains a secondary practice location in Austin and lists Chad Pew, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacksonville Lung Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Jacksonville Lung Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 23Jacksonville Beach, FL 32250
Jacksonville, FL 32256
Jacksonville, FL 32207
Jacksonville, FL 32209
Fleming Island, FL 32003
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 Jacksonville Lung Clinic LLC's NPI number?
The NPI number for Jacksonville Lung Clinic LLC is 1861991937. It was assigned to this organization in the NPPES registry on February 5, 2018.
Where is Jacksonville Lung Clinic LLC located?
Jacksonville Lung Clinic LLC is located at 1350 13th Ave S, Jacksonville Beach, FL 32250. The listed phone number is (904) 627-2900.
What is Jacksonville Lung Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Jacksonville Lung Clinic LLC enrolled in Medicare?
Yes. Jacksonville Lung Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacksonville Lung Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Jacksonville Lung Clinic LLC. 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 (14), Internal Medicine (4) and Pulmonary Disease (3). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jacksonville Lung Clinic LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Jacksonville Lung Clinic Llc · NPI 1861991937
Critical Care Medicine organization in Jacksonville Beach, Florida. Organization record, active in the CMS NPPES registry since February 5, 2018.
## Identity
- **NPI:** 1861991937 (Entity type: Organization)
- **Enumerated:** February 5, 2018
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **Organization subpart:** No
- **Authorized official:** Chad Pew, VICE PRESIDENT
## Practice location
- **Address:** 1350 13TH AVE S, Jacksonville Beach, FL 32250-3203
- **Phone:** (904) 627-2900 · **Fax:** (904) 253-3098
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Internal Medicine (4), Pulmonary Disease (3); 3 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1861991937/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2025
- **Other identifiers:** Medicaid 022274400 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1861991937) · Data from the CMS NPPES public registry.