Jacksonville Lung Clinic LLC
NPI 1861991937 · Critical Care Medicine (Internal Medicine) Physician · Jacksonville Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacksonville Lung Clinic LLC is a Critical Care Medicine (Internal Medicine) Physician organization in Jacksonville Beach, FL (NPI 1861991937).
Provider details
- NPI number
- 1861991937
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chad Pew, Vice President(307) 262-9410
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 7500 Rialto Blvd Ste 1-140Austin, TX 78735Phone: (512) 730-3060Fax: (888) 730-1925
Registry dates
- Enumerated
- 2018-02-05
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is Jacksonville Lung Clinic LLC's NPI number?
- Jacksonville Lung Clinic LLC's National Provider Identifier (NPI) is 1861991937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Lung Clinic LLC?
- Jacksonville Lung Clinic LLC is classified in the NPPES registry as Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville Lung Clinic LLC located?
- Jacksonville Lung Clinic LLC's practice location on file with NPPES is 1350 13th Ave S, Jacksonville Beach, FL 32250-3203.
- What is Jacksonville Lung Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Lung Clinic LLC is (904) 627-2900.
- Does Jacksonville Lung Clinic LLC accept Medicare?
- Jacksonville Lung Clinic LLC 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 Jacksonville Lung Clinic LLC?
- The authorized official listed on Jacksonville Lung Clinic LLC's NPPES record is Chad Pew, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Lung Clinic LLC's NPI active?
- Yes — Jacksonville Lung Clinic LLC's NPI (1861991937) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.