NOEL MASTERS PERRY NPI 1871597567

NPI Information

  • NPI: 1871597567
  • Provider Name: NOEL MASTERS PERRY
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1824 KING ST
    SUITE 200
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 421-5586

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NPI Details

Noel Masters Perry is a surgical physician assistant in Jacksonville, FL. Noel Masters Perry NPI is 1871597567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1824 KING ST
SUITE 200
JACKSONVILLE, FL
ZIP 32204-735
Phone: (904) 421-5586
Fax: (904) 389-6748

The NPI 1871597567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 1/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA1787FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E1592YMEDICARE PINFLORIDA
2290019000MEDICAIDFLORIDA
3970017538OTHERMEDICARE RAILROAD
4S67584MEDICARE UPINFLORIDA
5E1592XMEDICARE PINFLORIDA
6100000513BMEDICAIDGEORGIA
7E1592WMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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