Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629294665 Individual Practitioner Female Practitioner

Dr. Mary E Lott , MD

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mary Lott, MD is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 2606 PARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2606 Park St

Jacksonville, FL 322044520

Telephone 9043884646
Associated Practice Facility / Clinic
🏢 Jacksonville Pediatrics Facility NPI 1043346745

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Jacksonville, FL (4160 Statewide)

Telehealth Adoption Rate
0.5% 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: 2021-04-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME131370

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Hospice and Palliative Medicine

NUCC Taxonomy Code: 2080H0002X

State License GA 001265

A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA 62137

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
369518390E (GA)
Commercial Insurance / Payer ID Employer Id
GRP2665 (GA)
Commercial Insurance / Payer ID Medicare
PENDING (FL)
Commercial Insurance / Payer ID Residency License
001265 (GA)
Commercial Insurance / Payer ID Bcbs
52319773 (GA)

Secondary Practice Locations

218 Quarterman St

Waycross, GA 31501

Phone: 9122870301

711 Charles Gilman Jr Ave Ste B

Kingsland, GA 315485664

Phone: 9125109728

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1114998010

Doctor of Medicine (M.D.)

Elizabeth Emerson , PNP-PC

Nurse Practitioner - Pediatrics

NPI 1164153060

PNPPC

NPI 1225099740

Doctor of Medicine (M.D.)

NPI 1487625398

Doctor of Medicine (M.D.)

NPI 1508156795

Doctor of Osteopathic Medicine (D.O.)

Ceara Drexel , NP

Nurse Practitioner

NPI 1710631486

Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Pediatrics (License #ME131370 in FL)

📍
Updated Practice Location April 21, 2021

Registered at 2606 PARK ST, JACKSONVILLE, FL 322044520 (Tel: 9043884646)

📍
Updated Business Mailing Address April 21, 2021

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 9043884646)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Pediatrics (License #62137 in GA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #001265 in GA)

NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2017

Registered at 711 CHARLES GILMAN JR AVE STE B, KINGSLAND, GA 315485664 (Tel: 9125109728)

📍
Updated Business Mailing Address July 31, 2017

Registered at 218 QUARTERMAN ST, WAYCROSS, GA 31501 (Tel: (912) 287-0301)

👤
Provider Name / Credentials Updated July 31, 2017

Recorded as MARY LOTT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Pediatrics (License #62137 in GA)

NPI Profile Active November 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2014

Registered at 218 QUARTERMAN ST, WAYCROSS, GA 31501 (Tel: 9122870301)

📍
Updated Business Mailing Address November 20, 2014

Registered at 218 QUARTERMAN ST, WAYCROSS, GA 31501 (Tel: 9122870301)

👤
Provider Name / Credentials Updated November 20, 2014

Recorded as MARY LOTT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2014

Pediatrics (License #001265 in GA)

🟢
Initial NPI Registration & Enumeration April 18, 2007

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: 1629294665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2007
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 9043884646

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.