Kayleigh Morgan Shaver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2155 Old Moultrie Rd
St Augustine, FL 32086-5102

Phone

(904) 877-1300

Fax

(904) 506-2005

NPI assigned

Mar 5, 2019

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

Other identifiers 1

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

Barnes Medical College, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Tallahassee PAGroup PAC ID 6608775499, 39 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.85 of 100Reported as group

Quality

91.7

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.59 of 100Reported as group

Quality

100

Promoting interoperability

91

Improvement activities

40

Cost

72.81

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksanders@coastaldermjax.emadirect.md
• FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA

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.

• Dermatology Associates of Tallahassee PA

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1295842672
  Medicare reassignment Care Compare group
• Coastal Dermatology PA

  • Dermatology Physician
  • Jacksonville, FL
  • NPI 1366431769
  Medicare reassignment
• North Florida Multispecialty Physicians LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1639593213

  Dermatology

  NPD
• Dermatology Associates of Tallahassee, PA

  • Dermatology Physician
  • Valdosta, GA
  • NPI 1730567504
  NPD

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1780142166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13834",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173834",
            "telephone_number": "850-205-6232",
            "fax_number": "855-975-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865102",
            "telephone_number": "904-877-1300",
            "fax_number": "904-506-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "KAYLEIGH",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL PA LICENSE",
            "identifier": "PA9114468",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Shallis
• Jackie Sue Shank, R.D.
• Ramzi M Shaqareq, MD
• Shweta Sharma
• Jamie Sharp
• Holly Ann Shaw, PT, DPT
• Shazia Bashir MD PLLC
• Suzanne Welsh Shea, LCSW
• Paul Sheikewitz, MD
• Shelby H Cline MD PA D/B/a Sunshine Pediatrics of St Augustine

• Physician Assistant in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.