Active NPI
Colin G Knight, M.D.
- Pediatric Surgery Physician
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- ME-99402
- Practice address
- 2402 Frist Blvd Ste 204
Fort Pierce, FL 34950-4838 - Phone
- (772) 462-3939
- Fax
- (772) 462-3938
- NPI assigned
- Jun 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | ME-99402 | FL | Primary |
Addresses
Primary practice location
2402 Frist Blvd Ste 204
Fort Pierce, FL 34950-4838
Mailing address
11760 SW 40TH St Ste 722
Miami, FL 33175-8101
Phone (305) 559-1334
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-99402 | FL | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawnwood Healthcare Specialists LLC | Current | Accepting new patients | |
| Miami Associates in Pediatric Surgery PA | Past | Accepting new patients | |
| Nicklaus Children'S Pediatric Specialists, LLC | Past | Accepting new patients |
Locations
2402 Frist Blvd
Ste 204
Fort Pierce, FL 34950
Phone (772) 466-1113
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
11760 SW 40th St
Ste 722
Miami, FL 33175
Phone (305) 559-1883
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9d02172d-d861-4f2f-87b5-3b1c5ad61f32/
- colin.knight@hca4.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Fort Pierce, FL
- NPI 1649437765
-
- General Practice Physician
- Miami, FL
- NPI 1558425090
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Miami, FL
- NPI 1588063176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1285836718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 SW 40TH ST STE 722",
"city": "MIAMI",
"state": "FL",
"postal_code": "331758101",
"telephone_number": "305-559-1334",
"fax_number": "305-559-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 FRIST BLVD STE 204",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504838",
"telephone_number": "772-462-3939",
"fax_number": "772-462-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "COLIN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "FL",
"license": "ME-99402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.