Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588352215 Individual Practitioner Female Practitioner

Dr. Kaitlyn Luckock , MD

General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kaitlyn Luckock, MD is a registered healthcare professional specializing in General Practice in Jacksonville, FL. Practice services are available at 2080 CHILD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 9045424677
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
84 Specialists

Practicing in Jacksonville, FL (2490 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-15
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101283169

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Elizabeth Secrist , PA

Physician Assistant

NPI 1023254166

Physician Assistant

Cameron Myers

Military Health Care Provider

NPI 1043953854
NPI 1063577690

Doctor of Medicine (M.D.)

Valerie Davis , LCSW

Social Worker - Clinical

NPI 1104117050

Licensed Clinical Social Worker

Caitlin Hoover , PA-C

Physician Assistant

NPI 1104166370

Physician Assistant (Certified)

Andjie Louis , APRN

Nurse Practitioner - Family

NPI 1184354011

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Military Health Care Provider

NPI Profile Active May 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 9045424677)

📍
Updated Business Mailing Address May 01, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 9045424677)

👤
Provider Name / Credentials Updated May 01, 2023

Recorded as KAITLYN LUCKOCK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588352215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2023
Last Update: August 15, 2024
Sole Proprietor: No

Mailing Address

2080 Child St

Jacksonville, FL 322145005

Phone: 9045424677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.