JACK GIDDINGS (MD) – Family Medicine Physician, NPI 1083781967

JACK GIDDINGS (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME 12607 (FL). The NPI Number for JACK GIDDINGS (MD) is 1083781967

Main info

Male
65 Years Of Experience
Accepts Medicare Assignment
Name
JACK GIDDINGS (MD)
NPI
1083781967
Phone
(904) 725-0200
Address
1731 UNIVERSITY BLVD S
Enumeration Date
29 November 2006
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9047250200
Graduation Year
1961 (65 years ago)
PAC ID
2466467956
Group Practice PAC ID
8820003411
Professional Enrollment ID
I20060221000333

Contacts

Secure Messaging
JACK.GIDDINGS@hca5.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JACK GIDDINGS (MD)

  • 1731, University Boulevard South, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322168928

    Phone: (904) 725-0200

    Fax: (904) 721-5711

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,556.

Total Amount is formed as General ($1,556) + Research ($0) + Ownership ($0) = $1,556.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($362).

Total Amount

$1,556

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,556

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060221000333IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes408185$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9797$0
99214Established patient office or other outpatient visit, 30-39 minutes6558$0
83036Hemoglobin a1c level3521$0
99212Established patient office or other outpatient visit, 10-19 minutes2519$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820003411View full group profile
NameSpecialtyState
-FL
Physician AssistantGA
Physician AssistantFL
General SurgeryOH
Family PracticeFL
-FL
-FL
-FL
Infectious Disease, Internal MedicineFL
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Is there an official ID for JACK GIDDINGS (MD) in U.S. healthcare records?
The official identifier for JACK GIDDINGS (MD) is NPI 1083781967.
Would JACK GIDDINGS (MD) appear as active to a payer?
You can treat JACK GIDDINGS (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JACK GIDDINGS (MD)?
JACK GIDDINGS (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JACK GIDDINGS (MD)?
Directory geography for JACK GIDDINGS (MD) centers on Jacksonville, Florida.
When was this NPI issued?
Enumeration for JACK GIDDINGS (MD) is noted as November 29, 2006 where the registry provides it.

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