Active NPI
Meredith Gentry, PA
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117784
- Practice address
- 14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419 - Phone
- (904) 224-8090
- Fax
- (904) 391-5507
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9117784 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9117784 | FL | |
| Physician Assistant | 363A00000X | PA9117784 | FL | Primary |
Addresses
Primary practice location
14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419
Mailing address
PO Box 746649
Atlanta, GA 30374-6649
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Carolina School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1370 13TH Ave S
Jacksonville, FL 32250-3206
Phone (904) 398-5407
1370 13TH Ave S
Suite 215
Jacksonville Beach, FL 32250-3230
Phone (904) 249-1041
14540 Old Saint Augustine Rd
Suite 2599
Jacksonville, FL 32258-7420
Phone (904) 224-8090
PO Box
Melrose, FL 32666-1099
Hospital & facility affiliations
- Baptist Home Health Care by Bayada
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117784 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Neurology Inc | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Baptist Neurology Inc | Past | Accepting new patients |
Locations
14540 Old St Augustine Rd
Ste 2599
Jacksonville, FL 32258
Phone (904) 224-8090
14540 Old St Augustine Rd
Ste 2207
Jacksonville, FL 32258
Phone (904) 224-8090
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
135 Rutledge Ave
Charleston, SC 29425
Phone (803) 569-1757
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
96 Jonathan Lucas St
Ste 301
Charleston, SC 29425
Phone (438) 876-9887
Interoperability endpoints
- mgentry157745@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 6
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.
-
- Neurology Physician
- Jacksonville, FL
- NPI 1598995599
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1750432704
Physician Assistant
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
-
- Neurology Physician
- Jacksonville, FL
- NPI 1639505035
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Home Health Agency
- Jacksonville, FL
- NPI 1023612884
-
- 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": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295315273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746649",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746649",
"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": "904-224-8090",
"fax_number": "904-391-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "MEREDITH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9117784",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9117784",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117784",
"primary": true
}
],
"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 Sep 11, 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.