Individual provider Active NPI

Leslie Suzann Horne, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1013093384
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103683 Issued in FL
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

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA9103683OtherFLFLORIDA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 91 clinicians

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

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince May 8, 2016 Accepting new patients
Physicians Group Services PA CurrentSince Sep 13, 2021 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince May 8, 2016 Accepting new patients
Physicians Group Services PA CurrentSince Sep 13, 2021 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

  • Direct secure messaging: 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.

View all 18

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

Verify at the official NPI Registry.