Individual provider Active NPI

Leiah Anfinson, M.D.

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1225097520
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME106629 Issued in FL
Practice address
8761 Perimeter Park Blvd
Suite 101
Jacksonville, FL 32216-1106
Phone
(904) 718-4174
NPI assigned
Mar 23, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME106629 FL Primary

Addresses

Primary practice location

8761 Perimeter Park Blvd
Suite 101
Jacksonville, FL 32216-1106

Mailing address

1982 Westend PL
Fleming Island, FL 32003-6346

Other names 1

  • Leiah Walrod Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101019000857 FL Practitioner - General Practice 4880887165 Reassigns benefits to 3 organizations
I20260212002848 VA Practitioner - General PracticePractitioner - General Surgery 4880887165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Florida College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians

Practice addresses (Care Compare)

Key West, FL 33040
Phone (310) 445-5999

100 Shockoe Slip
FL 2
Richmond, VA 23219-4100
Phone (310) 445-5999

17888 67TH CT N
Loxahatchee, FL 33470-3275
Phone (310) 445-5999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue462
Removal of skin lesions11
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106629FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Mar 1, 2025 Accepting new patients
Skilled Biologics, Inc. CurrentSince Oct 11, 2025 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

100 Shockoe Slip
Fl 2
Richmond, VA 23219
Phone (888) 364-2334

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20909/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1225097520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 WESTEND PL",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 PERIMETER PARK BLVD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161106",
            "telephone_number": "904-718-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANFINSON",
        "first_name": "LEIAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME106629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIAH",
            "last_name": "WALROD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.