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

Individual provider Surgical Physician Assistant · NPI 1811950272

Jaclyn Tyo Meldrum, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2005, 21 years ago. Practices with Jacksonville Spine Center PA, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
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

5191 First Coast Tech Pkwy Fl 3
Jacksonville, FL 32224-0609
Phone: (904) 223-3321
Fax: (904) 223-2169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 Park St Ste B, Jacksonville, FL 32204-4518 — (904) 223-3321

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9103502 (FL)

Record details

NPI number1811950272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Jacksonville Spine Center Pa — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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