PIC PROGRAM
NPI 1184291510
General Practice in Jacksonville, FL
NPI Status: Active since June 04, 2021
Contact Information
4266 SUNBEAM RD
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 268-5200
- Organization
- General Practice
- Accepts Insurance
- CLIA Number: 10D0918964
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 08-22-2026
About PIC PROGRAM
This page provides the complete NPI Profile along with additional information for Pic Program, a primary care provider established in Jacksonville, Florida operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1184291510 assigned on June 2021. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pic Program operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Pic Program. The authorized official of this NPI record is Mr. Phillip C Ward (President & Ceo)
- NPI
- 1184291510
- Provider Legal Name
- COMMUNITY HOSPICE OF N.E. FLORIDA
- Other Organization Name
- PIC PROGRAM
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4266 SUNBEAM RD JACKSONVILLE, FL 32257
- Location Phone
- (904) 268-5200
- Mailing Address
- 4266 SUNBEAM RD JACKSONVILLE, FL 32257
- Mailing Phone
- (904) 268-5200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-04-2021
- Last Update Date
- 11-08-2023
- Code Navigator
A primary care provider (PCP) like Pic Program sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 087407808 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0918964
- Facility Type
- Hospice
- Certificate Effective Date
- August 23, 2024
- Certificate Expiration Date
- August 22, 2026
- Laboratory Director
- CHRISTINA MCCURDY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pic Program to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PIC PROGRAM
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 2 | 9 | 1 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 4 | 9 | 2 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 4 + 9 + 2 + 5 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1184291510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285678235 | BENITA CULLINS FORD ARNP Individual | Nurse Practitioner (Family) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 874-0779 |
| 1356370753 | MR. DANIEL LEE REDDEN RPH Individual | Pharmacist | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 886-3883 |
| 1558628529 | MR. DOYLE DEWAYNE SIMS JR. RPH Individual | Pharmacist (Geriatric) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-6378 |
| 1083942676 | MRS. REBECCA BENES OWENS ARNP Individual | Nurse Practitioner (Family) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-6943 |
| 1669804290 | MS. SANDRA JEAN CROSSEN ARNP Individual | Nurse Practitioner (Family) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-6198 |
| 1396183398 | MRS. ALI THOMPSON PT Individual | Physical Therapist | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 268-5200 |
| 1376933630 | MRS. KIM KOSSAKOWSKI Individual | Nurse Practitioner (Primary Care) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 268-5200 |
| 1851758494 | AMBER CAPPADONA ARNP Individual | Nurse Practitioner (Family) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-7700 |
| 1093147019 | MRS. AMANDA MARIE SPENCE CPNP-PC Individual | Nurse Practitioner (Pediatrics) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 463-4770 |
| 1245218874 | MRS. BERNITA JEAN ARMSTRONG ARNP Individual | Nurse Practitioner (Adult Health) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-7700 |
| 1063820777 | MRS. HELENA WELLS ARNP Individual | Nurse Practitioner (Acute Care) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-7700 |
| 1972553030 | JENNIFER CONTIN MD Individual | Family Medicine | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-7700 |
| 1215028378 | DR. JOHN LAWRENCE SIMONS JR. D.O. Individual | Family Medicine (Hospice and Palliative Medicine) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 268-5200 |
| 1508286980 | MS. JAYLA BARNES FNP-BC Individual | Nurse Practitioner (Family) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 318-7885 |
| 1508060898 | ELIZABETH MCCULLOUGH M.D. Individual | Internal Medicine | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-7700 |
| 1255524831 | RACHEL ALEXIS BUTLER APRN Individual | Nurse Practitioner (Family) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-7700 |
| 1336123728 | JAMES STANLEY BOMHARD MD Individual | Family Medicine | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 268-5200 |
| 1982717401 | MARIA GINA TIOMICO M.D. Individual | Family Medicine | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 268-5200 |
| 1336683705 | MRS. ADRIENNE BOYD HAMPTON ARNP Individual | Nurse Practitioner | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 268-5200 |
| 1558698159 | MRS. ROBERTA ELAINE MOORE APRN Individual | Nurse Practitioner (Adult Health) | 4266 SUNBEAM RD JACKSONVILLE, FL 32257 (904) 407-7700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184291510, enumerated in the NPI registry as an "organization" on June 04, 2021
The provider is located at 4266 Sunbeam Rd Jacksonville, Fl 32257 and the phone number is (904) 268-5200
This medical organization specializes in General Practice with taxonomy code 208D00000X
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D0918964 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 04, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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