Unknown Individual – Physician Assistant, NPI 1578977815
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2140 HADLEIGH HILLS CT
NAVARRE, FL 325663392
Phone: (904) 318-1065
Type: Mailing
514 MARY ESTHER CUT OFF NW
FORT WALTON BEACH, FL 325484025
Phone: (850) 226-8550
Fax: (850) 226-6712
Type: Location
8118 SABAL OAK LN
JACKSONVILLE, FL 322567370
Phone: (904) 318-1065
Type: Mailing
8705-2 PERIMETER PARK BLVD
JACKSONVILLE, FL 32216
Phone: (904) 248-3920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 57 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 51 | 51 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 28 | 28 | $0 |
| 81003 | Automated urinalysis test | 18 | 18 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 15 | 15 | $0 |
Insurance plans in this area (ZIP 32566)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | WA | |
| - | FL | |
| Family Practice | FL | |
| - | PA | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL | |
| - | FL |
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