R David Heekin, MD, PA – Orthopaedic Surgery Physician, NPI 1629025820
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for R David Heekin, MD, PA
10475 Centurion Pkwy N Ste 301
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 305
Jacksonville, FL 322565004
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
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274
Phone: (904) 634-0640
Fax: (904) 634-0640
Type: Location
216 Southpark Cir E
St Augustine, FL 320865135
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
300 Saint Elizabeth Way Ste 210
St Johns, FL 322591153
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
615 Pendleton St Ste B
Waycross, GA 315014760
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: (904) 634-0640
Fax: (904) 634-0640
Type: Location
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
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
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 322238800
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
4565 US Highway 17 Ste 200
Fleming Island, FL 320034823
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
1690 US Highway 1 S Ste F
St Augustine, FL 320846024
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
6800 SOUTHPOINT PKWY STE 300
JACKSONVILLE, FL 322168203
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Mailing
2627 RIVERSIDE AVE FL 3
JACKSONVILLE, FL 322044717
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
6500, Bowden Road, Greenfield Manor, Jacksonville, Duval County, Florida, 32216, United States
SUITE 103
JACKSONVILLE, FL 322168070
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Mailing
2627, Riverside Avenue, Riverside, Jacksonville, Duval County, Florida, 32204, United States
3RD FLOOR
JACKSONVILLE, FL 322044712
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (675 days ago).
Enrollment records
2
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040216000301 | O | Clinic/Group Practice | FL | TBD |
| O20190702003183 | O | Clinic/Group Practice | GA | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 32256)
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