OrganizationActive
Hampton Pediatrics PA
NPI 1770039687 · Pediatrics Physician · Jacksonville, FL
Hampton Pediatrics PA is a Pediatrics Physician organization in Jacksonville, FL (NPI 1770039687).
Provider details
- NPI number
- 1770039687
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Latha Shivashankar, President(904) 998-1448
- License
- ME53102 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
11512 Lake Mead Ave Unit 201
Jacksonville, FL 32256-9688
Phone: (904) 998-1448
Fax: (904) 998-1450
Street-level locationGet directions
Mailing address
11512 Lake Mead Ave Unit 201
Jacksonville, FL 32256-9688
Registry dates
- Enumerated
- 2016-08-30
- Last updated
- 2016-08-30
Frequently asked questions
- What is Hampton Pediatrics PA's NPI number?
- Hampton Pediatrics PA's National Provider Identifier (NPI) is 1770039687, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hampton Pediatrics PA?
- Hampton Pediatrics PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Hampton Pediatrics PA located?
- Hampton Pediatrics PA's practice location on file with NPPES is 11512 Lake Mead Ave Unit 201, Jacksonville, FL 32256-9688.
- What is Hampton Pediatrics PA's phone number?
- The practice phone number listed in the NPPES registry for Hampton Pediatrics PA is (904) 998-1448.
- Who is the authorized official for Hampton Pediatrics PA?
- The authorized official listed on Hampton Pediatrics PA's NPPES record is Latha Shivashankar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hampton Pediatrics PA's NPI active?
- Yes — Hampton Pediatrics PA's NPI (1770039687) is active in the NPPES registry as of the last update on 2016-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.