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

Jason T. Nieves, MD

Individual provider Vascular Surgery Physician · NPI 1194088369

Jason T. Nieves, MD is a Vascular Surgery in Eglin AFB, Florida. Graduated from Ponce School of Medicine in 2012, 14 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
Ponce School of Medicine
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone: (850) 883-8600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A127611 (CA)

Record details

NPI number1194088369
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount