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Mr. Fred Carter Ewalt, PA

Medical Physician Assistant in Jacksonville, FL · enumerated 2006.

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

National Provider Identifier

1487629267

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Registry record

Entity type Individual (Type 1)
Name Mr. Fred Carter Ewalt
Credential PA
Sex Male
Practice address 2080 Child St, Jacksonville, FL, 32214
Fax (904) 542-7835
Enumeration date Feb 23, 2006
Last updated in NPPES Nov 10, 2009

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1462446 (FL) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

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

Where does Fred Ewalt practice?
The practice location on file with NPPES is in Jacksonville, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Fred Ewalt?
The National Provider Identifier (NPI) for Fred Ewalt is 1487629267, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-10.