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Georgiann Quarles

Physician β€’ Jacksonville, FL

Deactivated NPI 1942759063 Deactivated in NPPES Female Practitioner
Practice location in NPPES

1888 W 3rd St
Jacksonville, FL 322097273

Phone: 9049622107

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 19, 2022; the reason is not published. The records below are historical. They do not show whether Georgiann Quarles currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date September 30, 2016
NPI Deactivation Date September 19, 2022
NPI Active Period 2016 – 2022

Practice Location & Contact Primary Location

Practice Address

1888 W 3rd St

Jacksonville, FL 322097273

Telephone 9049622107
Fax 9045032645

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Jacksonville and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 261QD1600X

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated September 19, 2022

NPPES lists this NPI as deactivated as of September 19, 2022; the reason is not published.

βœ…
NPI Profile Active September 30, 2016

NPI status registered as active in NPPES database

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Practice Location (Initial Record) September 30, 2016

Registered at 1888 W 3RD ST, JACKSONVILLE, FL 322097273 (Tel: 9049622107)

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Business Mailing Address (Initial Record) September 30, 2016

Registered at 1888 W 3RD ST, JACKSONVILLE, FL 322097273 (Tel: 9049622107)

πŸ‘€
Provider Name / Credentials (Initial Record) September 30, 2016

Recorded as GEORGIANN QUARLES

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2016

Clinic/Center

🟒
Initial NPI Registration & Enumeration September 30, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942759063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2016
Last Update: September 30, 2016
Deactivation Date: September 19, 2022

Mailing Address

1888 W 3rd St

Jacksonville, FL 322097273

Phone: 9049622107

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.