MENTAL SOUTH WELLNESS PA – Specialist, NPI 1255799896

MENTAL SOUTH WELLNESS PA is a healthcare provider. based in Saint johns, Florida. specializing in Specialist. The NPI Number for MENTAL SOUTH WELLNESS PA is 1255799896

Main info

Organization
Name
MENTAL SOUTH WELLNESS PA
NPI
1255799896
Phone
Not provided
Address
125 EDGEWATER BRANCH DR
Authorized Official
DR. JONATHAN CARVAJAL PHYSICIAN M.D
Enumeration Date
9 February 2016
Last Update Date
9 February 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

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Provider Addresses for MENTAL SOUTH WELLNESS PA

  • 125, Edgewater Branch Drive, Fruit Cove, St. Johns County, Florida, 32259, United States

    SAINT JOHNS, FL 322594417

    Phone:

    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)

No Open Payments data available for this provider.

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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.

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

Insurance plans in this area (ZIP 32259)

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Reviews

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Frequently asked questions

What is the registry number for MENTAL SOUTH WELLNESS PA?
The registry entry for MENTAL SOUTH WELLNESS PA shows NPI 1255799896.
Should I treat MENTAL SOUTH WELLNESS PA as an active provider?
Patients and plans typically see MENTAL SOUTH WELLNESS PA as active in the national extract.
How should patients interpret MENTAL SOUTH WELLNESS PA's specialty?
The extract shows Other Service Providers for MENTAL SOUTH WELLNESS PA. Clinical services aligned with this taxonomy classification.
What city is tied to MENTAL SOUTH WELLNESS PA?
The directory associates MENTAL SOUTH WELLNESS PA with Saint Johns, Florida. Check all listed addresses for suites or satellite offices.
Who maintains MENTAL SOUTH WELLNESS PA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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