OrganizationActive
Carlson Medical, PLLC
NPI 1518412238 · Medical Specialty Clinic/Center · Ponte Vedra, FL
Provider details
- NPI number
- 1518412238
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ingrid Carlson, President(904) 395-3577
- License
- ME112115 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
486 Town Plaza Ave
Suite 440
Ponte Vedra, FL 32081-5141
Phone: (904) 395-3577
Fax: (904) 834-7821
Street-level locationGet directions
Mailing address
486 Town Plaza Ave
Ponte Vedra, FL 32081-5141
Other names (DBA / former)
- Doing business as
- Wise Women
Registry dates
- Enumerated
- 2016-08-23
- Last updated
- 2016-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.