Active NPI
Jeremy Knight Demille, PA-C
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116800
- Practice address
- 14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419 - Phone
- (904) 388-6518
- Fax
- (904) 384-1005
- NPI assigned
- Feb 14, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9116800 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | PA9116800 | FL |
Addresses
Primary practice location
14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419
Mailing address
PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092
Other practice location 1
836 Prudential Dr Ste 1400
Jacksonville, FL 32207-8340
Phone (904) 388-6518
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
1370 13TH Ave S
Jacksonville, FL 32250-3206
Phone (904) 388-6518
484 Riverside Ave
Jacksonville, FL 32202-4912
PO Box
Suite 1099
Melrose, FL 32666-1099
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center - Nassau
- Baptist Medical Center Beaches
- Ed Fraser Memorial Hospital
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Lyerly Baptist Inc | Physician Assistant | Current | Accepting new patients |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
836 Prudential Dr
Ste 1400
Jacksonville, FL 32207
Phone (904) 396-0000
14540 Old St Augustine Rd
Ste 2571
Jacksonville, FL 32258
Phone (904) 886-2251
14540 Old St Augustine Rd
Ste 2207
Jacksonville, FL 32258
Phone (904) 224-8090
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jdemille138323@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1851347801
Physician Assistant
-
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1154028751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746647",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746647",
"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": "14540 OLD SAINT AUGUSTINE RD STE 2207",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587419",
"telephone_number": "904-388-6518",
"fax_number": "904-384-1005"
}
],
"practiceLocations": [
{
"address_1": "836 Prudential Dr Ste 1400",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078340",
"country_code": "US",
"telephone_number": "904-388-6518",
"fax_number": "904-384-1005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMILLE",
"first_name": "JEREMY",
"middle_name": "KNIGHT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-14",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116800",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9116800",
"primary": false
}
],
"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 Nov 6, 2025; 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.