Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689054538 Individual Practitioner Female Practitioner

Autumn Lee Chim , PA-C

Physician Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Autumn Chim, PA-C is a registered healthcare professional specializing in Physician Assistant in Jacksonville, FL. Practice services are available at 4500 SAN PABLO RD S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% 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: 2022-12-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9116378

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA13281

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

2401 S 31st St

Temple, TX 765085341

Phone: 2547242111

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 12, 2022

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address October 12, 2022

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Practice Location March 16, 2020

Registered at 2401 S 31ST ST, TEMPLE, TX 765085341 (Tel: 2547242111)

📍
Updated Business Mailing Address March 16, 2020

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547248800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2020

Physician Assistant (License #PA13281 in TX)

NPI Profile Active June 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2015

Registered at 1329 W WALTON ST UNIT 2, CHICAGO, IL 606425341 (Tel: 7736771715)

📍
Updated Business Mailing Address June 05, 2015

Registered at 1329 W WALTON ST UNIT 2, CHICAGO, IL 606425341 (Tel: 7736771715)

👤
Provider Name / Credentials Updated June 05, 2015

Recorded as AUTUMN CHIM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 05, 2015

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: 1689054538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2015
Last Update: December 13, 2022
Sole Proprietor: No

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

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.