OrganizationActive
Angel Kids PA
NPI 1386210367 · Pediatrics Physician · St Johns, FL
Angel Kids PA is a Pediatrics Physician organization in St Johns, FL (NPI 1386210367).
Provider details
- NPI number
- 1386210367
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Azza Ghandour, Billing/Credentialing Manager(904) 242-4220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
774 State Road 13
St Johns, FL 32259-3857
Phone: (904) 242-4220
Street-level locationGet directions
Mailing address
13241 Bartram Park Blvd Unit 209
Jacksonville, FL 32258-5233
Other names (DBA / former)
- Doing business as
- Angel Kids Pediatrics
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Frequently asked questions
- What is Angel Kids PA's NPI number?
- Angel Kids PA's National Provider Identifier (NPI) is 1386210367, 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 Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Angel Kids PA located?
- Angel Kids PA's practice location on file with NPPES is 774 State Road 13, St Johns, FL 32259-3857.
- 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.
- Who is the authorized official for Angel Kids PA?
- The authorized official listed on Angel Kids PA's NPPES record is Azza Ghandour, Billing/Credentialing Manager. 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 (1386210367) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.