Individual provider Active NPI

Savanna Dehner

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1720761067
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117960 Issued in FL
Practice address
PO Box 47170
Jacksonville, FL 32247-7170
Phone
(904) 423-0010
NPI assigned
Aug 11, 2023
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117960 FL Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

PO Box 47170
Jacksonville, FL 32247-7170

Mailing address

PO Box 100288
Gainesville, FL 32610-0288
Phone (352) 273-9079

Other practice location 1

6675 Corporate Center Pkwy
Jacksonville, FL 32216-8079
Phone (904) 245-8910

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
I20240104000052 FL Practitioner - Physician Assistant 0143678052 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Feb 17, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 17, 2025 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3901 University Blvd S
Ste 221
Jacksonville, FL 32216
Phone (904) 391-1206

14 Office Park Dr
Ste 1
Palm Coast, FL 32137
Phone (386) 446-2305

351 Town Plaza Ave
Ste 203
Ponte Vedra, FL 32081
Phone (904) 371-8260

100 Whetstone Pl
Ste 102
St Augustine, FL 32086
Phone (904) 342-8300

100 Whetstone Pl
Ste 310
St Augustine, FL 32086
Phone (904) 217-7450

70 Turin Ter
Ste 210
St Augustine, FL 32092
Phone (904) 342-8300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sdehner740660@direct.shands.ufl.edu

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, 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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1720761067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100288",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100288",
            "telephone_number": "352-273-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 47170",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322477170",
            "telephone_number": "904-423-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Corporate Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168079",
            "country_code": "US",
            "telephone_number": "904-245-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHNER",
        "first_name": "SAVANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117960",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.