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

John Michael Tierney, PA

Individual provider Physician Assistant · NPI 1124023445

John Michael Tierney, PA is a Physician Assistant in Jacksonville, Florida. Qualified in 1996, 30 years ago. Practices with Jacksonville Orthopaedic Institute Inc, a 61-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14540 Old Saint Augustine Rd Ste 2201
Jacksonville, FL 32258-7418
Phone: (904) 880-1260
Fax: (904) 880-1210
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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 PA9102882 (FL)

Record details

NPI number1124023445
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESNovember 19, 2015
Mailing address1325 San Marco Blvd Ste 200, Jacksonville, FL 32207-8566

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Jacksonville Orthopaedic Institute Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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