Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kerrie Peacock-Preston, PA-C

Individual provider Physician Assistant · NPI 1861454126

Mrs. Kerrie Peacock-Preston, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2004, 22 years ago. Practices with Florida Department of Health, a 129-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
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

515 W 6th St
Jacksonville, FL 32206-4324
Phone: (904) 253-1639
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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 PA9103213 (FL)

Record details

NPI number1861454126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Florida Department Of Health — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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