CHRISTIAN A ERICSON (MD) – Urology Physician, NPI 1801459664

CHRISTIAN A ERICSON (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. ME147430 (FL). The NPI Number for CHRISTIAN A ERICSON (MD) is 1801459664

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN A ERICSON (MD)
NPI
1801459664
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
17 April 2019
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7066129401
Graduation Year
2020 (6 years ago)
PAC ID
8325373079
Group Practice PAC ID
0446491641
Professional Enrollment ID
I20240731001786
Address ID
GA306777712WA1150XWAYX300

Contacts

Secure Messaging
cericson604370@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

898 UROLOGY in FL

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Provider Addresses for CHRISTIAN A ERICSON (MD)

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 32224

    Phone:

    Type: Mailing

  • 1150 GOLDEN WAY

    WATKINSVILLE, GA 306777712

    Phone: (706) 612-9401

    Fax: (706) 612-9420

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,210.

Total Amount is formed as General ($1,210) + Research ($0) + Ownership ($0) = $1,210.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: COLOPLAST CORP ($521).

Total Amount

$1,210

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2024-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230920002534IUrologyFLTBD
I20240731001786IUrologyGATBD

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
51798Ultrasound measurement of bladder capacity after voiding2827$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 0446491641View full group profile
NameSpecialtyState
Nurse PractitionerGA
U R O L O G YGA
U R O L O G YGA
Nurse PractitionerGA
U R O L O G YGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
U R O L O G YGA
U R O L O G YGA

Reviews

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Frequently asked questions

What federal number belongs to CHRISTIAN A ERICSON (MD)?
The federal identifier for CHRISTIAN A ERICSON (MD) is NPI 1801459664.
Is CHRISTIAN A ERICSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CHRISTIAN A ERICSON (MD) work in?
You can think of CHRISTIAN A ERICSON (MD) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
Does CHRISTIAN A ERICSON (MD) practice in Florida?
You will see Jacksonville, Florida on file for CHRISTIAN A ERICSON (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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