MEDICARE: MR. BARRY LINCOLN ATKINS CSFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant	153853

General Provider Information

NPI Number	:	1114754769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BARRY LINCOLN ATKINS CSFA

Provider Business Mailing Address
First Line	:	716 REMBRANDT AVE
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-5022
Country	:	US
Telephone Number	:	904-735-3838
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 REMBRANDT AVE
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-5022
Country	:	US
Telephone Number	:	904-735-3838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	05/24/2026

Similar Medicare Providers

1801223375 — PUBLIX SUPER MARKETS, INC.
Practice Location Address:

220 FRONT ST
PONTE VEDRA BEACH, FL
32082-5022

Practice Phone: 904-280-5441
Practice Fax: 904-567-8596

1952798415 — MICHAEL FILIPKOWSKI
Practice Location Address:

220 FRONT ST
PONTE VEDRA, FL
32082-5022

Practice Phone: 904-280-5441
Practice Fax:

1417304130 — JESSICA ROLLER PHARMD
Practice Location Address:

220 FRONT ST
PONTE VEDRA BEACH, FL
32082-5022

Practice Phone: 904-280-5441
Practice Fax: 904-567-8596

1851948533 — CLARKE TATJE POWELL PHARMD
Practice Location Address:

220 FRONT ST
PONTE VEDRA BEACH, FL
32082-5022

Practice Phone: 904-280-5440
Practice Fax:

1700852878 — RUSSELL F JACOBY MD
Practice Location Address:

3108 PONTE MORINO DRIVE , PALMER PROFESSIONAL CENTRE SUITE 230
CAMERON PARK, CA
95682-5022

Practice Phone: 530-672-2701
Practice Fax: 530-672-9097

1598693897 — FIRST COAST HOME CARE, LLC
Practice Location Address:

205 MARKETSIDE AVE STE 200-5
PONTE VEDRA, FL
32081-0767

Practice Phone: 732-672-6786
Practice Fax:

Directions to “ MR. BARRY LINCOLN ATKINS CSFA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.