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

Courtland Polley, MD

Individual provider Surgery Physician · NPI 1164929790

Courtland Polley, MD is a General Surgery in Jacksonville, Florida. Graduated from Florida Atlantic University, College of Medicine in 2018, 8 years ago. Practices with North Florida Surgeons PA, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Trained at
Florida Atlantic University, College of Medicine
Licensed in
FL
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME161701 (FL)

Record details

NPI number1164929790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolFLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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