Individual provider Active NPI

Meredith Gentry, PA

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1295315273
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117784 Issued in FL
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211101001174 SC Practitioner - Physician Assistant 7416345061 Reassigns benefits to 1 organization
I20231018000150 FL Practitioner - Physician Assistant 7416345061 Reassigns benefits to 1 organization

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
Baptist Neurology IncGroup PAC ID 0345366704, 47 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
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

LicenseStateTypeSpecialty
PA9117784FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Neurology Inc CurrentSince Sep 5, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Oct 13, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Oct 13, 2021 Accepting new patients
Baptist Neurology Inc PastSince Sep 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.