PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA
NPI 1750448163
Internal Medicine - Geriatric Medicine in Jacksonville, FL

NPI Status: Active since January 03, 2007

Contact Information

2700 RIVERSIDE AVENUE
SUITE#14
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 389-3770
Fax: (904) 389-3703

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  • Organization
  • Internal Medicine
  • Geriatric Medicine
  • Accepts Insurance

About PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA

This page provides the complete NPI Profile along with additional information for Physician Associates Of Jacksonville, Pa, an internist established in Jacksonville, Florida operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1750448163 assigned on January 2007. The practitioner's primary taxonomy code is 207RG0300X with license number ME741014 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Nag Ravichandran M.d. (Administrator)

NPI
1750448163
Provider Name
PHYSICIAN ASSOCIATES OF JACKSONVILLE, PA
Entity Type
Organization
Location Address
2700 RIVERSIDE AVENUE SUITE#14 JACKSONVILLE, FL 32205
Location Phone
(904) 389-3770
Location Fax
(904) 389-3703
Mailing Address
PO BOX 54246 JACKSONVILLE, FL 32245
Mailing Phone
(904) 389-3770
Mailing Fax
(904) 389-3703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2007
Last Update Date
02-06-2012
Code Navigator

An internist like Physician Associates Of Jacksonville, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
ME741014
License State
FL
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2025) - HMO
  • AvMed Entrust Bronze 650 (2025) - HMO
  • AvMed Entrust Expanded Bronze Standard (2025) - HMO
  • AvMed Entrust Gold 125 (2025) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
  • AvMed Entrust Gold Standard (2025) - HMO
  • AvMed Entrust Platinum 25 (2025) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
  • AvMed Entrust Platinum Standard (2025) - HMO
  • AvMed Entrust Silver 350 (2025) - HMO
  • AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
  • AvMed Entrust Silver 550 (2025) - HMO
  • AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
  • AvMed Entrust Silver Standard (2025) - HMO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. NAG RAVICHANDRAN M.D.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(904) 389-3770

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
K1498MEDICARE PIN (08)FL 

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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.
1750448163
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271008416112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 4 + 1 + 6 + 1 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1750448163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629143326 ELIAS MOUSSA SARGI DDS
Individual
Dentist (General Practice)2700 RIVERSIDE AVENUE STE 10
JACKSONVILLE, FL 32205
(904) 384-0383

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750448163, enumerated in the NPI registry as an "organization" on January 03, 2007

The provider is located at 2700 Riverside Avenue Suite#14 Jacksonville, Fl 32205 and the phone number is (904) 389-3770

This medical organization specializes in Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine

The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 03, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.