KERRY LOUISE BUCKLEY, M.D. — NPI 1801117171 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in JACKSONVILLE, FL)

CMS-1500 Box 24J / 33a • NPI

1801117171

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

2080 CHILD ST, JACKSONVILLE, FL, 32214-5005

✓ 9-Digit EDI 837 ZIP+4 (32214-5005)

Practice Phone & Referral Fax

(904) 542-7419

Fax: (904) 542-7839

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1801117171 (KERRY LOUISE BUCKLEY, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B

DMEPOS Ordering

✓ Eligible

Home Health (HHA)

Power Mobility

✓ Eligible

Hospice Referring

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1801117171` (NPI-1 Individual Practitioner)
Provider / Legal Name	KERRY LOUISE BUCKLEY, M.D.
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	2080 CHILD ST, JACKSONVILLE, FL, 32214-5005
Practice Telephone / Fax	Tel: (904) 542-7419 \| Fax: (904) 542-7839
Administrative Mailing Address	236 N BRIDGE CREEK DR, ST JOHNS, FL, 32259-8882
Enumeration & Last Sync	Enumerated: 2010-06-21 \| CMS Record Updated: 2026-08-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2080 CHILD ST, JACKSONVILLE, FL, 32214-5005

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Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KERRY LOUISE BUCKLEY, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: N/A \| License: `Verified` \| Primary: Secondary
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: TN \| License: `MD0000048093` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KERRY LOUISE BUCKLEY, M.D. (NPI #1801117171)