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Active NPI 1134598857 Individual Practitioner Female Practitioner

Shavone Simmonds , PA-C

Physician Assistant - Surgical • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Shavone Simmonds, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Orange Park, FL. Practice services are available at 1887 KINGSLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1887 Kingsley Ave
Suite 1900

Orange Park, FL 320734416

Telephone 9042729981
Associated Practice Facility / Clinic
🏢 University Of Florida Jacksonville Physicians, Inc Facility NPI 1578135950

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Orange Park, FL (1463 Statewide)

Telehealth Adoption Rate
0.0% 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

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA 9108356

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Islam Tafish , MD

Psychiatry & Neurology - Neurology

NPI 1629175526

Doctor of Medicine (M.D.)

Dr. Ronnie Bond , MD

Psychiatry & Neurology - Neurology

NPI 1639327893

Doctor of Medicine (M.D.)

Dr. Ravi Pande , MD

Psychiatry & Neurology - Vascular Neurology

NPI 1740440023

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active September 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2015

Registered at 1887 KINGSLEY AVE, SUITE 1900, ORANGE PARK, FL 320734416 (Tel: 9042729981)

📍
Updated Business Mailing Address September 23, 2015

Registered at 9800 TOUCHTON RD, APT. #638, JACKSONVILLE, FL 322468296 (Tel: 5715219811)

👤
Provider Name / Credentials Updated September 23, 2015

Recorded as SHAVONE SIMMONDS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2015

Physician Assistant (License #PA 9108356 in FL)

🟢
Initial NPI Registration & Enumeration September 23, 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: 1134598857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2015
Last Update: September 23, 2015
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

9800 Touchton Rd, Apt. #638

Jacksonville, FL 322468296

Phone: 5715219811

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.