MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) – Physician Assistant, NPI 1396855813

MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, MPA, ATC, MED.. They hold a License No. 012000864 (VA). The NPI Number for MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) is 1396855813

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.)
NPI
1396855813
Phone
(904) 634-0640
Address
6800 SOUTHPOINT PKWY STE 300
Enumeration Date
30 August 2006
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046340640
Graduation Year
2021 (5 years ago)
PAC ID
1153716196
Group Practice PAC ID
1456246974
Professional Enrollment ID
I20250213001471
Address ID
FL322238800JA4268XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness85
Years active:19State licenses:5Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.)

  • 6800 SOUTHPOINT PKWY STE 300

    JACKSONVILLE, FL 322168203

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Mailing

  • 4565 US Highway 17 Ste 200

    Fleming Island, FL 320034823

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 216 Southpark Cir E Ste 216

    Saint Augustine, FL 320865135

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2300 Park Ave Ste 206

    Orange Park, FL 320735573

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 15255 Max Legget Pkwy Ste 5300

    Jacksonville, FL 322187274

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 45 Groover Loop Ste 201

    St Augustine, FL 320866586

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 4268 Oldfield Crossing Dr Ste 201

    Jacksonville, FL 322238800

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2 Shircliff Way Ste 605

    Jacksonville, FL 322044762

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 232 Ponte Vedra Park Dr

    Ponte Vedra Beach, FL 320826600

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2627 Riverside Ave Ste 300

    Jacksonville, FL 322044717

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 10475 Centurion Pkwy N Ste 220

    Jacksonville, FL 322565004

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 1690 US Highway 1 S Ste F

    St Augustine, FL 320846024

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2110 Herschel St

    Jacksonville, FL 322043820

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 3055 COUNTY ROAD 210 W STE 110

    ST JOHNS, FL 322597001

    Phone: (214) 580-7277

    Type: Location

  • Arrillaga Family Sports Center, 641, Campus Drive, Stanford, Santa Clara County, California, 94305, United States

    STANFORD, CA 943056201

    Phone: (650) 391-7829

    Type: Mailing

  • 700 N PEARL ST STE N208

    DALLAS, TX 752017430

    Phone: (214) 999-9355

    Type: Mailing

  • 700 N PEARL ST STE N510

    DALLAS, TX 752012863

    Phone: (214) 580-7277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Novo Nordisk Inc ($51).

Total Amount

$186

General + Research + Ownership

Payments

9

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-02-13

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
I20250213001471IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 1456246974View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
-FL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What is the registry number for MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.)?
The registry entry for MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) shows NPI 1396855813.
Quick check: is MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) active?
Public NPPES data shows MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) with an active NPI status right now.
What type of care does MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) provide?
MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.) in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for MRS. JUANITA DENAE BRACY (PA-C, MPA, ATC, MED.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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