Jillian Clavenna, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109794 Issued in FL

Practice address

1260 W Bay Dr Ste C
Largo, FL 33770-2285

Phone

(727) 935-0500

Fax

(727) 935-0501

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: j.clavenna@directaddress.net
• Direct secure messaging: jclavenna@aadermaffiliates.emadirect.md

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.

• Academic Alliance in Dermatology, PLLC

  dba Academic Alliance in Dermatology

  • Dermatology Physician
  • Tampa, FL
  • NPI 1538119722
  Medicare reassignment Care Compare group
• Douglas K Pierce MD PA

  dba The Dermatology Clinic

  • Procedural Dermatology Physician
  • Largo, FL
  • NPI 1053515379
  NPD (past)
• Marni L Mentis DO PA

  • Plastic Surgery Physician
  • Belleair, FL
  • NPI 1700113040
  NPD (past)
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiac Rehabilitation Registered Nurse
  • Sahuarita, AZ
  • NPI 1962259812
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1538398441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W BAY DR STE C",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702285",
            "telephone_number": "727-935-0500",
            "fax_number": "727-935-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Chestnut St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337565643",
            "country_code": "US",
            "telephone_number": "727-442-1917",
            "fax_number": "727-219-2446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3190 N McMullen Booth Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612013",
            "country_code": "US",
            "telephone_number": "727-258-9143",
            "fax_number": "727-823-7043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Belcher Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337651452",
            "country_code": "US",
            "telephone_number": "727-935-0503",
            "fax_number": "727-935-0504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAVENNA",
        "first_name": "JILLIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Connor Clair, MD
• Bryan Michael Clark, DO
• Christine Burns Clark, MD
• Dominique J Clark
• Claudette M Parham (Psychiatric Homecare)
• Clean Life Detox
• Clearwater Cardiovascular and Interventional Consultants MD PA (Clearwater Cardiovascular Consultants)
• Clearwater Surgical Associates, PLLC
• Jennifer Ann Clemans
• Martin Clemmons, D.O.

• Physician Assistant in Largo, FL
• Providers in Largo, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.

Verify at the official NPI Registry.