Active NPI
Amanda Sue Kent, D.O.
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS13930
- Practice address
- 1536 N Jefferson St
Jacksonville, FL 32209-6525 - Phone
- (904) 470-6900
- NPI assigned
- Jun 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 81349 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | OS13930 | FL | Primary |
Addresses
Primary practice location
1536 N Jefferson St
Jacksonville, FL 32209-6525
Mailing address
1536 N Jefferson St
Jacksonville, FL 32209-6525
Phone (904) 470-6900
Other practice location 1
8375 Dix Ellis Trl Ste 201
Jacksonville, FL 32256-8241
Phone (904) 399-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 96.18
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81349 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Northside Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087
14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810
655 W 8th St
Fl 2
Jacksonville, FL 32209
Phone (904) 244-4202
3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1900 Tebeau St
Ste C
Waycross, GA 31501
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Harvey, IL
- NPI 1831461771
GA
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1023213378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096525",
"telephone_number": "904-470-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096525",
"telephone_number": "904-470-6900"
}
],
"practiceLocations": [
{
"address_1": "8375 Dix Ellis Trl Ste 201",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322568241",
"country_code": "US",
"telephone_number": "904-399-5550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENT",
"first_name": "AMANDA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "81349",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS13930",
"primary": true
}
],
"identifiers": [],
"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 Oct 16, 2024; 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.