Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Juanita Denae Bracy, PA-C, MPA, ATC, MED

Individual provider Athletic Trainer · NPI 1396855813

Mrs. Juanita Denae Bracy, PA-C, MPA, ATC, MED is a Physician Assistant in St Johns, Florida. Qualified in 2021, 5 years ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group, works from 13 locations and accepts Medicare assignment. Licensed in California, Florida, North Carolina and Texas and 1 more.

Years since qualifying
5
Licensed in
CA, FL, NC, TX, VA
In the registry since
2006
Specialties on file
7
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

3055 County Road 210 W Ste 110
St Johns, FL 32259-7001
Phone: (214) 580-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (12)

  • 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 — (904) 634-0640
  • 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 — (904) 634-0640
  • 2110 Herschel St, Jacksonville, FL 32204-3820 — (904) 634-0640
  • 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 — (904) 634-0640
  • 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 — (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 — (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL 32223-8800 — (904) 634-0640
  • 2300 Park Ave Ste 206, Orange Park, FL 32073-5573 — (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 — (904) 634-0640
  • 216 Southpark Cir E Ste 216, Saint Augustine, FL 32086-5135 — (904) 634-0640
  • 1690 Us Highway 1 S Ste F, St Augustine, FL 32084-6024 — (904) 634-0640
  • 45 Groover Loop Ste 201, St Augustine, FL 32086-6586 — (904) 634-0640

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118228 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence 012000864 (VA)
Athletic Trainer Taxonomy 2255A2300X (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 306479 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA60497 (CA)
Medical Physician Assistant Taxonomy 363AM0700X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA15256 (TX)

Record details

NPI number1396855813
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPA , ATC , MED
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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