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

Individual provider Physician Assistant · NPI 1700995354

Jason Chauncey Spencer, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2005, 21 years ago. Practices with Southland Hawkinsville Emergency Medical Services, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

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

8761 Perimeter Park Blvd Ste 106
Jacksonville, FL 32216-6397
Phone: (904) 621-6628
Fax: (904) 346-0113
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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 PA9103004 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 003768 (GA)

Record details

NPI number1700995354
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJune 11, 2008

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 Southland Hawkinsville Emergency Medical Services, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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