Individual provider Active NPI

Gregory A Knight, PA-C

  • Medical Physician Assistant
  • Naples, FL
National Provider Identifier
1275518508
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2475 Issued in FL
Practice address
1726 Medical Blvd
Suite 203
Naples, FL 34110-1426
Phone
(239) 598-1250
Fax
(239) 598-2745
NPI assigned
Dec 9, 2005
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2475 FL Primary

Addresses

Primary practice location

1726 Medical Blvd
Suite 203
Naples, FL 34110-1426

Mailing address

1726 Medical Blvd
Suite 203
Naples, FL 34110-1426
Phone (239) 598-1250

Other identifiers 1

IdentifierTypeStateIssuer
290379200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000736 FL Practitioner - Physician Assistant 2860480308 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince Apr 26, 2015 Accepting new patients
South Gulf Coast Emergency Physicians PA Past Accepting new patients
Cape Coral Emergency Physicians Past Accepting new patients
Naples Emergency Physicians LLC Past Accepting new patients
All X Ray Diagnostic Services Corp Medical Past Accepting new patients
Emergency Physicians of Naples PLLC Past Accepting new patients

Locations

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

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, 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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1275518508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 MEDICAL BLVD",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101426",
            "telephone_number": "239-598-1250",
            "fax_number": "239-598-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 MEDICAL BLVD",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101426",
            "telephone_number": "239-598-1250",
            "fax_number": "239-598-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290379200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.