OrganizationActive
Northwest Jacksonville Pediatrics, P.A.
NPI 1205079662 · Pediatrics Physician · Jacksonville, FL
Provider details
- NPI number
- 1205079662
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shelly Thompson, Director(904) 765-5249
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3160 Edgewood Ave W
Jacksonville, FL 32209-2245
Phone: (904) 765-5249
Fax: (904) 765-0958
Street-level locationGet directions
Mailing address
3160 Edgewood Ave W
Jacksonville, FL 32209-2245
Registry dates
- Enumerated
- 2009-04-15
- Last updated
- 2009-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.