Individual provider Active NPI

Jennifer Leigh Knight, M.D.

  • Pediatrics Physician
  • Jacksonville Beach, FL
National Provider Identifier
1093921645
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME113695 Issued in FL
Practice address
950 Marsh Landing Pkwy Ste 105a
Jacksonville Beach, FL 32250-1408
Phone
(904) 280-1225
Fax
(904) 390-7504
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME113695 FL Primary

Addresses

Primary practice location

950 Marsh Landing Pkwy Ste 105a
Jacksonville Beach, FL 32250-1408

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Other practice location 1

3945 San Jose Park Dr
Jacksonville, FL 32217-4612
Phone (904) 731-3530

Other practice location 2

400 Colonnade Dr Ste 200
Ponte Vedra, FL 32081-6236
Phone (904) 696-7577

Other identifiers 3

IdentifierTypeStateIssuer
006496200MedicaidFL
515313OtherTXMD IN TRAINING PERMIT
003154729AMedicaidGA

Other names 1

  • Jennifer Leigh Anusavice Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209001985 FL Practitioner - Pediatric Medicine 5597981795 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Dec 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics Current Accepting new patients
Baptist Primary Care Inc Pediatrics CurrentSince Nov 24, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Pediatrics CurrentSince Dec 1, 2014 Accepting new patients
Baptist Primary Care Inc Pediatrics PastSince Nov 24, 2024 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

950 Marsh Landing Pkwy
Ste 105A
Jacksonville Beach, FL 32250
Phone (904) 280-1225

Interoperability endpoints

  • Direct secure messaging: janusaviceknight28490@baptisthealthsystemjacksonville.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1093921645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MARSH LANDING PKWY STE 105A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501408",
            "telephone_number": "904-280-1225",
            "fax_number": "904-390-7504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 San Jose Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322174612",
            "country_code": "US",
            "telephone_number": "904-731-3530",
            "fax_number": "904-737-1548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Colonnade Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816236",
            "country_code": "US",
            "telephone_number": "904-696-7577",
            "fax_number": "904-390-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME113695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006496200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD IN TRAINING PERMIT",
            "identifier": "515313",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003154729A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ANUSAVICE",
            "middle_name": "LEIGH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.