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

Courtney N Nicholson, PA-C

Individual provider Physician Assistant · NPI 1649852138

Courtney N Nicholson, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14540 Old Saint Augustine Rd Ste 2201
Jacksonville, FL 32258-7418
Phone: (904) 880-9696
Fax: (904) 390-7452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9114339 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9114339 (FL)

Record details

NPI number1649852138
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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