Individual provider Active NPI

Kevin L Donovan, MD

  • Anesthesiology Physician
  • Jacksonville, FL
National Provider Identifier
1780679209
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME78056 Issued in FL
Practice address
1800 Barrs St
Jacksonville, FL 32204-4704
Phone
(904) 387-4030
Fax
(904) 381-9808
NPI assigned
Sep 12, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME78056 FL Primary

Addresses

Primary practice location

1800 Barrs St
Jacksonville, FL 32204-4704

Mailing address

2165 Herschel St
Jacksonville, FL 32204-3819
Phone (904) 387-4030

Other identifiers 2

IdentifierTypeStateIssuer
00843642AMedicaidGA
46914OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baker County Medical Services Inc CurrentSince Jul 5, 2017 Accepting new patients
North Florida Anesthesia Consultants, Inc. Anesthesiology CurrentSince May 18, 1999 Accepting new patients
Jacksonville Beaches Anesthesia Associates, Inc. Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
North Florida Anesthesia Consultants Inc Anesthesiology CurrentSince May 18, 1999 Accepting new patients
Baker County Medical Services Inc CurrentSince Jul 5, 2017 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

3316 3rd St S
Ste 200
Jax Bch, FL 32250
Phone (904) 247-8181

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

Organizations & group practices 5

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780679209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 HERSCHEL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043819",
            "telephone_number": "904-387-4030",
            "fax_number": "904-381-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BARRS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044704",
            "telephone_number": "904-387-4030",
            "fax_number": "904-381-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME78056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00843642A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.