Active NPI
Jennifer Leigh Knight, M.D.
- Pediatrics Physician
- Jacksonville Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME113695
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006496200 | Medicaid | FL | |
| 515313 | Other | TX | MD IN TRAINING PERMIT |
| 003154729A | Medicaid | GA |
Other names 1
- Jennifer Leigh Anusavice
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
| Baptist Primary Care Inc | Pediatrics | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Pediatrics | Current | Accepting new patients |
| Baptist Primary Care Inc | Pediatrics | Past | 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
- 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.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Pediatrics
-
- Pediatrics Physician
- Jacksonville Beach, FL
- NPI 1508475815
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1477713741
-
- Developmental - Behavioral Pediatrics Physician
- Jacksonville, FL
- NPI 1649430919
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.