Individual Healthcare Provider
Juanita Denae Bracy, PA-C, MPA, ATC, MED.
Provider's NPPES record last updated: July 28, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1396855813
- Primary Specialty
- Physician Assistant
- Practice Location
- St Johns, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 3:32 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
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.
Taxonomy code 363A00000X Specialist/Technologist
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Taxonomy code 2255A2300XPhysician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (Florida)
- PA9118228
- Specialist/Technologist (Virginia)
- 012000864
- Physician Assistant (North Carolina)
- 306479
- Physician Assistant (California)
- PA60497
- Physician Assistant (Texas)
- PA15256
Practice Locations
Practice Location
3055 County Road 210 W Ste 110
St Johns, Florida 32259-7001
Phone: (214) 580-7277
Additional Practice Location
15255 Max Legget Pkwy Ste 5300
Jacksonville, Florida 32218-7274
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
45 Groover Loop Ste 201
St Augustine, Florida 32086-6586
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
4268 Oldfield Crossing Dr Ste 201
Jacksonville, Florida 32223-8800
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
2 Shircliff Way Ste 605
Jacksonville, Florida 32204-4762
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
2300 Park Ave Ste 206
Orange Park, Florida 32073-5573
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
216 Southpark Cir E Ste 216
Saint Augustine, Florida 32086-5135
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
4565 US Highway 17 Ste 200
Fleming Island, Florida 32003-4823
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
232 Ponte Vedra Park Dr
Ponte Vedra Beach, Florida 32082-6600
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
2627 Riverside Ave Ste 300
Jacksonville, Florida 32204-4717
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
10475 Centurion Pkwy N Ste 220
Jacksonville, Florida 32256-5004
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
1690 US Highway 1 S Ste F
St Augustine, Florida 32084-6024
Phone: (904) 634-0640
Fax: (904) 634-0203
Additional Practice Location
2110 Herschel St
Jacksonville, Florida 32204-3820
Phone: (904) 634-0640
Fax: (904) 634-0203
Record Information
- Enumeration Date
- August 30, 2006
- Provider's NPPES Record Last Updated
- July 28, 2025
- Certification Date
- July 28, 2025
- NPISignal NPPES Dataset
- August 2026
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