JULINGTON CREEK PEDIATRICS
NPI 1891188173
Preferred Provider Organization in Jacksonville, FL

Active since March 11, 2015
774 STATE ROAD 13 STE 6, JACKSONVILLE, FL 32259(904) 230-5437 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Julington Creek Pediatrics NPPES

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

JULINGTON CREEK PEDIATRICS (NPI 1891188173) is a healthcare organization registered as a preferred provider organization in Jacksonville, Florida and active in the NPI registry since March 2015. The organization lists Lisa Ann Benedict, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1891188173
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameJULINGTON CREEK PEDIATRICS
Location Address774 STATE ROAD 13 STE 6Jacksonville, FL 32259-3815
Mailing Address774 State Road 13 Ste 6Jacksonville, FL 32259-3815 · (904) 230-5437
Organization SubpartNo
Authorized OfficialLisa Ann BenedictBilling Manager · (904) 230-5437
Enumeration DateMarch 11, 2015
NPI 1891188173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in FL · NE74170
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
774 STATE ROAD 13 STE 6, Jacksonville, FL 32259

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 Julington Creek Pediatrics's NPI number?

The NPI number for Julington Creek Pediatrics is 1891188173. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Julington Creek Pediatrics located?

Julington Creek Pediatrics is located at 774 State Road 13 Ste 6, Jacksonville, FL 32259. The listed phone number is (904) 230-5437.

What is Julington Creek Pediatrics's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Julington Creek Pediatrics was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.