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
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ageless Vein Center
Registry dates
- 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.