5jaghealth, PLLC
NPI 1407636582 · Family Nurse Practitioner · Live Oak, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
5jaghealth, PLLC is a Family Nurse Practitioner organization in Live Oak, FL (NPI 1407636582).
Provider details
- NPI number
- 1407636582
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Aymee Wilson, Owner(386) 330-6380
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- Suwannee Oaks Medical Primary and Wellness Clinic
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Frequently asked questions
- What is 5jaghealth, PLLC's NPI number?
- 5jaghealth, PLLC's National Provider Identifier (NPI) is 1407636582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 5jaghealth, PLLC?
- 5jaghealth, PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is 5jaghealth, PLLC located?
- 5jaghealth, PLLC's practice location on file with NPPES is 112 Irvin Ave Sw, Live Oak, FL 32064-2214.
- What is 5jaghealth, PLLC's phone number?
- The practice phone number listed in the NPPES registry for 5jaghealth, PLLC is (386) 647-6144.
- Does 5jaghealth, PLLC accept Medicare?
- 5jaghealth, PLLC 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 5jaghealth, PLLC?
- The authorized official listed on 5jaghealth, PLLC's NPPES record is Aymee Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 5jaghealth, PLLC's NPI active?
- Yes — 5jaghealth, PLLC's NPI (1407636582) is active in the NPPES registry as of the last update on 2024-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.