Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cory Grant Peters, PA

Individual provider Surgical Physician Assistant · NPI 1144395708

Cory Grant Peters, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 2012, 14 years ago. Practices with Ability Health Services, Inc, a 1,232-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10475 Centurion Pkwy N Ste 220
Jacksonville, FL 32256
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 — (904) 634-0640
  • 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 — (904) 634-0640
  • 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 — (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 — (904) 634-0640
  • 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 — (904) 953-2000
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 — (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 — (904) 634-0264
  • 1690 Us Highway 1 S Ste F, St Augustine, FL 32084-6024 — (904) 634-0640
  • 216 Southpark Cir E Ste 216, St Augustine, FL 32086-5135 — (904) 634-0640
  • 3055 County Road 210 W Ste 110, St Johns, FL 32259-7001 — (904) 634-0640

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9106781 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9106781 (FL)

Record details

NPI number1144395708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ability Health Services, Inc — 1232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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