FIRST COAST PODIATRY, P A
NPI 1881876902
Podiatrist in Jacksonville, FL
About First Coast Podiatry, P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIRST COAST PODIATRY, P A (NPI 1881876902) is a healthcare organization registered as a podiatrist in Jacksonville, Florida and active in the NPI registry since November 2007. The organization lists Jaynell Smith-cameron, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
First Coast Podiatry, P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to First Coast Podiatry, P A, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 First Coast Podiatry, P A's NPI number?
The NPI number for First Coast Podiatry, P A is 1881876902. It was assigned to this organization in the NPPES registry on November 30, 2007.
Where is First Coast Podiatry, P A located?
First Coast Podiatry, P A is located at 3115 Spring Glen Rd Ste 507, Jacksonville, FL 32207. The listed phone number is (904) 354-1192.
What is First Coast Podiatry, P A's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is First Coast Podiatry, P A enrolled in Medicare?
Yes. First Coast Podiatry, P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through First Coast Podiatry, P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to First Coast Podiatry, P A. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for First Coast Podiatry, P A was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# First Coast Podiatry, P A · NPI 1881876902
Podiatrist organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since November 30, 2007.
## Identity
- **NPI:** 1881876902 (Entity type: Organization)
- **Enumerated:** November 30, 2007
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Jaynell Smith-Cameron, PODIATRIST
## Practice location
- **Address:** 3115 SPRING GLEN RD STE 507, Jacksonville, FL 32207-5907
- **Phone:** (904) 354-1192 · **Fax:** (904) 354-1193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2023
- **Other identifiers:** Medicaid 340105700 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1881876902) · Data from the CMS NPPES public registry.