Angel Kids PA
NPI 1124162854 · Primary Care Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Angel Kids PA is a Primary Care Clinic/Center organization in Jacksonville, FL (NPI 1124162854).
Provider details
- NPI number
- 1124162854
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ashraf Abu Affan, President(904) 242-4220
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2015-07-28
Frequently asked questions
- What is Angel Kids PA's NPI number?
- Angel Kids PA's National Provider Identifier (NPI) is 1124162854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Angel Kids PA?
- Angel Kids PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Angel Kids PA located?
- Angel Kids PA's practice location on file with NPPES is 13241 Bartram Park Blvd, Jacksonville, FL 32258.
- What is Angel Kids PA's phone number?
- The practice phone number listed in the NPPES registry for Angel Kids PA is (904) 242-4220.
- Does Angel Kids PA accept Medicare?
- Angel Kids PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Angel Kids PA?
- The authorized official listed on Angel Kids PA's NPPES record is Ashraf Abu Affan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Angel Kids PA's NPI active?
- Yes — Angel Kids PA's NPI (1124162854) is active in the NPPES registry as of the last update on 2015-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.