What is Physician Group Holdings, LLC's NPI number?

Physician Group Holdings, LLC's National Provider Identifier (NPI) is 1003478827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Physician Group Holdings, LLC?

Physician Group Holdings, LLC is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).

Where is Physician Group Holdings, LLC located?

Physician Group Holdings, LLC's practice location on file with NPPES is 10210 San Jose Blvd Ste 4, Jacksonville, FL 32257-6271.

What is Physician Group Holdings, LLC's phone number?

The practice phone number listed in the NPPES registry for Physician Group Holdings, LLC is (904) 990-8484.

Who is the authorized official for Physician Group Holdings, LLC?

The authorized official listed on Physician Group Holdings, LLC's NPPES record is Megan Deacon-Casey, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Physician Group Holdings, LLC's NPI active?

Yes — Physician Group Holdings, LLC's NPI (1003478827) is active in the NPPES registry as of the last update on 2019-07-01.

OrganizationActive

Physician Group Holdings, LLC

NPI 1003478827 · Vascular & Interventional Radiology Physician · Jacksonville, FL

Physician Group Holdings, LLC is a Vascular & Interventional Radiology Physician organization in Jacksonville, FL (NPI 1003478827).

Provider details

NPI number: 1003478827
Entity type: Organization
Primary specialty: Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Megan Deacon-Casey, Medical Director(904) 990-8484

Practice location

10210 San Jose Blvd Ste 4

Jacksonville, FL 32257-6271

Phone: (904) 990-8484

Fax: (904) 990-8485

Street-level locationGet directions

More FL providers

Mailing address

10210 San Jose Blvd Ste 4

Jacksonville, FL 32257-6271

Specialties & taxonomies

Vascular & Interventional Radiology PhysicianPrimary2085R0204X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Ageless Vein Center

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2019-07-01
Last updated: 2019-07-01

Frequently asked questions

What is Physician Group Holdings, LLC's NPI number?: Physician Group Holdings, LLC's National Provider Identifier (NPI) is 1003478827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Physician Group Holdings, LLC?: Physician Group Holdings, LLC is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
Where is Physician Group Holdings, LLC located?: Physician Group Holdings, LLC's practice location on file with NPPES is 10210 San Jose Blvd Ste 4, Jacksonville, FL 32257-6271.
What is Physician Group Holdings, LLC's phone number?: The practice phone number listed in the NPPES registry for Physician Group Holdings, LLC is (904) 990-8484.
Who is the authorized official for Physician Group Holdings, LLC?: The authorized official listed on Physician Group Holdings, LLC's NPPES record is Megan Deacon-Casey, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Physician Group Holdings, LLC's NPI active?: Yes — Physician Group Holdings, LLC's NPI (1003478827) is active in the NPPES registry as of the last update on 2019-07-01.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions