CHARLES E POPE (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1639351059

CHARLES E POPE (PHYSICIAN ASSISTANT) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA9100667 (FL). The NPI Number for CHARLES E POPE (PHYSICIAN ASSISTANT) is 1639351059

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES E POPE (PHYSICIAN ASSISTANT)
NPI
1639351059
Phone
(904) 448-4174
Address
4085 UNIVERSITY BLVD S
Enumeration Date
27 November 2007
Last Update Date
27 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9044484174
Graduation Year
1998 (28 years ago)
PAC ID
9537173588
Group Practice PAC ID
5193780195
Professional Enrollment ID
I20060130000724
Address ID
FL322164362JA4085XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for CHARLES E POPE (PHYSICIAN ASSISTANT)

  • 4085, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    STE 3

    JACKSONVILLE, FL 322164357

    Phone: (904) 448-4174

    Fax: (904) 448-4181

    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 172 Open Payments records for all available years, with a total value of $3,820.

Total Amount is formed as General ($3,820) + Research ($0) + Ownership ($0) = $3,820.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($720).

Total Amount

$3,820

General + Research + Ownership

Payments

172

Total payment records

General Amount

$3,820

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2006-01-30

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
I20060130000724IPhysician 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: 5193780195View full group profile
NameSpecialtyState
N E U R O L O G YFL
N E U R O L O G YFL
-FL
-FL
Interventional Pain ManagementFL

Reviews

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Frequently asked questions

What NPI should I save for CHARLES E POPE (PHYSICIAN ASSISTANT)?
Save NPI 1639351059 if you need a stable reference for CHARLES E POPE (PHYSICIAN ASSISTANT).
Is CHARLES E POPE (PHYSICIAN ASSISTANT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CHARLES E POPE (PHYSICIAN ASSISTANT) work in?
You can think of CHARLES E POPE (PHYSICIAN ASSISTANT) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place CHARLES E POPE (PHYSICIAN ASSISTANT)?
The snapshot lists Jacksonville, Florida for CHARLES E POPE (PHYSICIAN ASSISTANT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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