OrganizationActive
Ackerman Cancer Center
NPI 1093174377 · Urology Physician · Orange Park, FL
Ackerman Cancer Center is a Urology Physician organization in Orange Park, FL (NPI 1093174377).
Provider details
- NPI number
- 1093174377
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scot Ackerman, Authorized Official(904) 880-5522
- License
- ME92864 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1895 Kingsley Ave
Suite 903
Orange Park, FL 32073-4466
Phone: (904) 644-8353
Fax: (904) 644-8289
Street-level locationGet directions
Mailing address
10881 San Jose Blvd
Jacksonville, FL 32223-6612
Other names (DBA / former)
- Doing business as
- Ackerman Urology
Registry dates
- Enumerated
- 2016-02-16
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Frequently asked questions
- What is Ackerman Cancer Center's NPI number?
- Ackerman Cancer Center's National Provider Identifier (NPI) is 1093174377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ackerman Cancer Center?
- Ackerman Cancer Center is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Ackerman Cancer Center located?
- Ackerman Cancer Center's practice location on file with NPPES is 1895 Kingsley Ave, Orange Park, FL 32073-4466.
- What is Ackerman Cancer Center's phone number?
- The practice phone number listed in the NPPES registry for Ackerman Cancer Center is (904) 644-8353.
- Who is the authorized official for Ackerman Cancer Center?
- The authorized official listed on Ackerman Cancer Center's NPPES record is Scot Ackerman, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ackerman Cancer Center's NPI active?
- Yes — Ackerman Cancer Center's NPI (1093174377) is active in the NPPES registry as of the last update on 2023-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.