Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emerald Diane Ford, PA-C

Individual provider Physician Assistant · NPI 1447942123

Emerald Diane Ford, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with North Florida Surgeons PA, a 336-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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

10475 Centurion Pkwy N Ste 303
Jacksonville, FL 32256-5004
Phone: (904) 399-0350
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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 PA9117583 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1447942123
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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