Individual provider Active NPI

Lenora Sheppard, PA-C

  • Physician Assistant
  • Starke, FL
National Provider Identifier
1083282545
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114558 Issued in FL
Practice address
922 E Call St
Starke, FL 32091-3616
Phone
(404) 723-1959
NPI assigned
Jun 11, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114558 FL Primary

Addresses

Primary practice location

922 E Call St
Starke, FL 32091-3616

Mailing address

922 E Call St
Starke, FL 32091-3616

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
I20210820002092 FL Practitioner - Physician Assistant 6709281272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgical Associates LLCGroup PAC ID 4082634407, 52 clinicians

Practice addresses (Care Compare)

1121 NW 64TH Ter
Gainesville, FL 32605-4256

6400 W Newberry Rd
Suite 210
Gainesville, FL 32605-6602
Phone (352) 331-3583

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jul 14, 2021 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jul 14, 2021 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

Interoperability endpoints

  • Direct secure messaging: lenora.sheppard@hca5.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1083282545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913616",
            "telephone_number": "404-723-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "LENORA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

Verify at the official NPI Registry.