Lighthouse Internal Medicine and Primary Care PA
NPI 1588742977 · Internal Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lighthouse Internal Medicine and Primary Care PA is a Internal Medicine Physician organization in Jacksonville, FL (NPI 1588742977).
Provider details
- NPI number
- 1588742977
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chonglun Xie, MD(904) 636-9510
- License
- ME92689 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
- 2006-11-01
- Last updated
- 2018-09-21
Frequently asked questions
- What is Lighthouse Internal Medicine and Primary Care PA's NPI number?
- Lighthouse Internal Medicine and Primary Care PA's National Provider Identifier (NPI) is 1588742977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse Internal Medicine and Primary Care PA?
- Lighthouse Internal Medicine and Primary Care PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lighthouse Internal Medicine and Primary Care PA located?
- Lighthouse Internal Medicine and Primary Care PA's practice location on file with NPPES is 5757 Booth Rd., Jacksonville, FL 32207.
- What is Lighthouse Internal Medicine and Primary Care PA's phone number?
- The practice phone number listed in the NPPES registry for Lighthouse Internal Medicine and Primary Care PA is (904) 636-9510.
- Does Lighthouse Internal Medicine and Primary Care PA accept Medicare?
- Lighthouse Internal Medicine and Primary Care 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 Lighthouse Internal Medicine and Primary Care PA?
- The authorized official listed on Lighthouse Internal Medicine and Primary Care PA's NPPES record is Chonglun Xie, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse Internal Medicine and Primary Care PA's NPI active?
- Yes — Lighthouse Internal Medicine and Primary Care PA's NPI (1588742977) is active in the NPPES registry as of the last update on 2018-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.