Individual provider Active NPI

Emily Nole Knott, PA-C

  • Physician Assistant
  • Brunswick, GA
National Provider Identifier
1114618253
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
106 Shoppers Way Ste 101
Brunswick, GA 31525-0522
Phone
(912) 275-8028
Fax
(912) 227-5008
NPI assigned
May 18, 2023
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 Primary

Addresses

Primary practice location

106 Shoppers Way Ste 101
Brunswick, GA 31525-0522

Mailing address

106 Shoppers Way Ste 101
Brunswick, GA 31525-0522
Phone (912) 275-8028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240412004366 FL Practitioner - Physician Assistant 7810336674 Reassigns benefits to 2 organizations
I20260123000897 GA Practitioner - Physician Assistant 7810336674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Community Health Services IncGroup PAC ID 0345463683, shared by 17 NPIs, 54 clinicians

Practice addresses (Care Compare)

1600 Ellis St
Brunswick, GA 31520-6737
Phone (912) 275-8028

22385 Flora Parke Xing
Fernandina Beach, FL 32034-8000
Phone (904) 404-8641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Coastal Community Health Services Inc CurrentSince Jan 12, 2026 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Pancare of Florida, Inc PastSince Feb 2, 2025 Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services Inc Past Accepting new patients

Locations

22385 Flora Parke Xing
Fernandina Beach, FL 32034
Phone (904) 404-8641

1605 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-9555

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-2006

2747 4th St
Brunswick, GA 31520
Phone (912) 262-2347

1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028

202 Lakeshore Dr
Saint Marys, GA 31558
Phone (912) 534-3085

Organizations & group practices 8

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 1

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1114618253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250522",
            "telephone_number": "912-275-8028",
            "fax_number": "912-227-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250522",
            "telephone_number": "912-275-8028",
            "fax_number": "912-227-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "EMILY",
        "middle_name": "NOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.