Individual provider Active NPI

Cheryl Knight, P.A.

  • Medical Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1457490831
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103259 Issued in FL
Practice address
7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324
Phone
(904) 389-1010
Fax
(904) 389-1082
NPI assigned
Feb 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PA9103259 FL Primary

Addresses

Primary practice location

7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324

Mailing address

1996 Kingsley Ave
Orange Park, FL 32073-4442
Phone (904) 276-5700

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
I20050930000319 FL Practitioner - Physician Assistant 1254366909 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9103259FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Spine & Pain Physicians, LLC CurrentSince Jul 22, 2017 Accepting new patients
Riverside Spine & Pain Physicians, LLC CurrentSince Jul 22, 2017 Accepting new patients

Locations

7207 Golden Wings Rd
Ste 100
Jacksonville, FL 32244
Phone (904) 244-3199

Interoperability endpoints

  • Direct secure messaging: cheryl.knight.1@14736.direct.athenahealth.com
  • Direct secure messaging: cheryl.knight.p1@direct.riversidepain.nextgenshare.com

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457490831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734442",
            "telephone_number": "904-276-5700",
            "fax_number": "904-272-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 GOLDEN WINGS RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443324",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CHERYL",
        "name_prefix": "Prof.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.