Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles Daniel Procter Sr., MD

Vascular Surgery Physician in Jacksonville, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457369258

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Registry record

Entity type Individual (Type 1)

Name Charles Daniel Procter Sr.

Credential MD

Sex Male

Practice address 8767 Perimeter Park Blvd, Jacksonville, FL, 32216

Phone (904) 402-8346

Fax (904) 402-8347

Enumeration date Aug 4, 2006

Last updated in NPPES Mar 31, 2025

Taxonomy & licenses

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 035736 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000502873K	Medicaid	GA	-
592947	Other	GA	BCBS
1708262	Other	GA	WELLCARE
000502873J	Medicaid	GA	-
000502873M	Medicaid	GA	-
000502873T	Medicaid	GA	-
01338970	Other	GA	AMERIGROUP
000502873I	Medicaid	GA	-
000502873R	Medicaid	GA	-
000502873S	Medicaid	GA	-
544229	Other	GA	WELLCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Charles Procter?

The National Provider Identifier (NPI) for Charles Procter is 1457369258, a Type 1 (individual) record in the CMS NPPES registry.

Where does Charles Procter practice?

The practice location on file with NPPES is in Jacksonville, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-31.