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

Sally Austill Bardin, PA-C

Individual provider Physician Assistant · NPI 1184577694

Sally Austill Bardin, PA-C is a Physician Assistant in Jacksonville, Florida. Graduated from Lincoln Memorial University Medical Department in 2025, 1 year ago. Works from 4 locations. Licensed in Florida.

Years since qualifying
1
Trained at
Lincoln Memorial University Medical Department
Licensed in
FL
In the registry since
2026
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

1550 Riverside Ave Ste A
Jacksonville, FL 32204-4162
Phone: (904) 923-6647
Fax: (904) 355-7788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 159 N 3rd St, Macclenny, FL 32063-2103 — (904) 923-6647
  • 1209 Park Ave, Orange Park, FL 32073-4158 — (904) 923-6647
  • 600 Zeagler Dr, Palatka, FL 32177-3811 — (904) 923-6647

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (FL)

Record details

NPI number1184577694
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 16, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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