Dr. Alexandria Timmer, MD
Pediatrics in Jacksonville, FL. Individual provider (NPI-1).
NPI number1962039404
StatusActive
Last updated in NPPESJul 15, 2025
Details
- NPI
- 1962039404
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexandria Timmer
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 160755 | FL | Yes |
Practice location
841 Prudential Dr Ste 1900Jacksonville, FL 32207-8373
Phone 904-633-0920 · Fax 904-633-0921
Mailing address
Po Box 44008Jacksonville, FL 32231-4008
Phone 904-383-1015 · Fax 904-244-8172
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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