Active NPI
Leslie Suzann Horne, PA-C
- Medical Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103683
- Practice address
- 2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233 - Phone
- (904) 265-7020
- Fax
- (904) 621-0566
- NPI assigned
- Oct 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103683 | FL | Primary |
Addresses
Primary practice location
2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233
Mailing address
705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331
Other practice location 1
1564 Kingsley Ave Ste 300
Orange Park, FL 32073-4521
Phone (904) 264-8801
Other practice location 2
280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 751-4906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9103683 | Other | FL | FLORIDA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070802000179 | FL | Practitioner - Physician Assistant | 1759472962 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Group Services PA
Practice addresses (Care Compare)
1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083
421 Kingsley Ave
Orange Park, FL 32073-4898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Physicians Group Services PA | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Physicians Group Services PA | Current | Accepting new patients | |
| Physicians Group Services PA | Past | Accepting new patients | |
| Advanced Interventional Pain Clinic, LLC. | Past | Accepting new patients | |
| Physicians Group Services PA | Past | Accepting new patients |
Locations
5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300
2700 Riverside Ave
Ste 2
Jacksonville, FL 32205
Phone (904) 264-8801
1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083
7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244
280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906
451 S Milwee St
Longwood, FL 32750
Phone (407) 622-7246
451 S Milwee St
Ste 1010
Longwood, FL 32750
Phone (321) 424-6950
1821 Blanding Blvd
Ste 1
Middleburg, FL 32068
Phone (904) 406-3160
705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474
1564 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 264-8801
1170 S Semoran Blvd
Orlando, FL 32807
Phone (407) 622-7246
150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000
13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500
1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766
463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080
Interoperability endpoints
- leslie.horne.1@25110.direct.athenahealth.com
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
-
- Interventional Pain Medicine Physician
- Delray Beach, FL
- NPI 1902064876
FL
-
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
- NPI 1528371051
-
- Pain Medicine Physician
- Jacksonville, FL
- NPI 1174837504
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1467616169
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1497118160
-
- Pain Medicine Physician
- Middleburg, FL
- NPI 1639448921
-
- Pain Medicine Physician
- Fernandina Beach, FL
- NPI 1649584079
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1700522299
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Yulee, FL
- NPI 1922776988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1013093384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WELLS RD STE 300",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732982",
"telephone_number": "904-282-6331",
"fax_number": "904-619-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 RIVERSIDE AVE STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322058233",
"telephone_number": "904-265-7020",
"fax_number": "904-621-0566"
}
],
"practiceLocations": [
{
"address_1": "1564 Kingsley Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734521",
"country_code": "US",
"telephone_number": "904-264-8801",
"fax_number": "904-621-0566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 Dundas Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322185517",
"country_code": "US",
"telephone_number": "904-751-4906",
"fax_number": "904-621-0566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORNE",
"first_name": "LESLIE",
"middle_name": "SUZANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PA9103683",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.