Julington Creek Pediatrics
NPI 1891188173ActiveOrganization· Preferred Provider Organization· Jacksonville, FL
Preferred Provider Organization in Jacksonville, Florida, registered in NPPES in March 2015. The authorized official on file is Lisa Ann Benedict, Billing Manager.
Overview
| NPI | 1891188173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2015 |
| Last updated in NPPES | Mar 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | NE74170 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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