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PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC
NPI 1942603899
Anesthesiology - Pain Medicine in Jacksonville, FL

Active since October 07, 2014CLIA 10D2085019 · Waiver
10250 NORMANDY BOULEVARD, SUITE 702, JACKSONVILLE, FL 32221(904) 495-7200(904) 495-7199 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pain Medicine Physicians Of Jacksonville, Llc NPPES

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

PAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC (NPI 1942603899) is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Parveen Khanna, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1942603899
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePAIN MEDICINE PHYSICIANS OF JACKSONVILLE, LLC
Location Address10250 NORMANDY BOULEVARD, SUITE 702Jacksonville, FL 32221
Mailing Address10250 Normandy Blvd, Suite 703Jacksonville, FL 32221-8059 · (904) 495-7200 · Fax (904) 495-7199
Phone(904) 495-7200
Fax(904) 495-7199
Organization SubpartNo
Authorized OfficialParveen KhannaMedical Director · (904) 495-7200
Enumeration DateOctober 7, 2014
Last NPPES UpdateJanuary 27, 2017
✔ NPI 1942603899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in FL · ME87424
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License ME87424 (FL)
10250 NORMANDY BOULEVARD, Jacksonville, FL 32221
Open in Google Maps ↗

Other Identifiers 3

Other007Z4FL · Bluecrossblueshield
OtherDV2304FL · Medicare Rr
Medicare PINHY239AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pain Medicine Physicians Of Jacksonville, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pain Medicine Physicians Of Jacksonville, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Parven Khanna, MD
Anesthesiology
NPI 1558346106
10250 NORMANDY BLVD SUITE 703
Jacksonville, FL 32221
(904) 495-7200
✔ PECOS✔ Accepts MedicareSame address
Mary Wright, A.P.R.N
Nurse Practitioner
NPI 1104375377
10250 NORMANDY BLVD SUITE #703
Jacksonville, FL 32221
(904) 495-7200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2085019

Pain Medicine Physicians Of Jacksonville LLC · Jacksonville, FL
Active · expires Jun 2, 2027
CLIA Number10D2085019
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorParveen Khanna
Laboratory Phone(904) 495-7200
Laboratory LocationPain Medicine Physicians Of Jacksonville LLC10250 Normandy Blvd Ste 703, Jacksonville, FL 32221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pain Medicine Physicians Of Jacksonville, LLC's NPI number?

The NPI number for Pain Medicine Physicians Of Jacksonville, LLC is 1942603899. It was assigned to this organization in the NPPES registry on October 7, 2014.

Where is Pain Medicine Physicians Of Jacksonville, LLC located?

Pain Medicine Physicians Of Jacksonville, LLC is located at 10250 Normandy Boulevard Suite 702, Jacksonville, FL 32221. The listed phone number is (904) 495-7200.

What is Pain Medicine Physicians Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Pain Medicine Physicians Of Jacksonville, LLC enrolled in Medicare?

Yes. Pain Medicine Physicians Of Jacksonville, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain Medicine Physicians Of Jacksonville, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pain Medicine Physicians Of Jacksonville, LLC, in Anesthesiology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pain Medicine Physicians Of Jacksonville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2085019) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Medicine Physicians Of Jacksonville, LLC was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.