Individual provider Active NPI

Kathleen Lawrence Jeannot, M.D.

  • Family Medicine Physician
  • Margate, FL
National Provider Identifier
1932153533
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME89771 Issued in FL
Practice address
5100 Coconut Creek Pkwy
Margate, FL 33063-3913
Phone
(954) 281-7700
Fax
(954) 715-7603
NPI assigned
May 19, 2006
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME89771 FL Primary

Addresses

Primary practice location

5100 Coconut Creek Pkwy
Margate, FL 33063-3913

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (954) 281-7700

Other practice location 1

2589 N State Road 7
Lauderdale Lakes, FL 33313-2778
Phone (954) 714-1264

Other practice location 2

400 N Tampa St Fl 15
Tampa, FL 33602-4730
Phone (888) 803-3370

Other practice location 3

2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (888) 803-3370

Other practice location 4

168 N Powerline Rd
Pompano Beach, FL 33069-5713
Phone (954) 970-8805

Other identifiers 1

IdentifierTypeStateIssuer
270248700MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826001195 FL Practitioner - Family Practice 2062487762 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Medical Care Group PAGroup PAC ID 0345769253, 42 clinicians

Practice addresses (Care Compare)

168 N Powerline Rd
Pompano Beach, FL 33069-5713
Phone (954) 970-8805

400 N Tampa St
FL 15
Tampa, FL 33602-4730
Phone (855) 487-8497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89771FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Community and Family Health Centers Inc CurrentSince Nov 11, 2025 Accepting new patients
South Broward Hospital District CurrentSince Dec 15, 2017 Accepting new patients
Broward Community and Family Health Centers Inc CurrentSince Nov 11, 2025 Accepting new patients
South Broward Hospital District Current Accepting new patients
Broward Community and Family Health Centers Inc Current Accepting new patients
South Broward Hospital District Family Medicine CurrentSince Dec 15, 2017 Accepting new patients
Doctor's Medical Center, LLC Family Medicine PastSince Mar 22, 2020 Accepting new patients

Locations

1750 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 276-9700

5010 Hollywood Blvd
Hollywood, FL 33021

5010 Hollywood Blvd
Ste 100B
Hollywood, FL 33021
Phone (954) 967-0028

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

168 N Powerline Rd
Pompano Beach, FL 33069
Phone (954) 633-0023

5800 W Hallandale Beach Blvd
West Park, FL 33023
Phone (954) 966-3939

Interoperability endpoints

  • Direct secure messaging: kjeannot179530@mhsdirect.net

Organizations & group practices 9

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1932153533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "954-281-7700",
            "fax_number": "954-715-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 COCONUT CREEK PKWY",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633913",
            "telephone_number": "954-281-7700",
            "fax_number": "954-715-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2589 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333132778",
            "country_code": "US",
            "telephone_number": "954-714-1264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Tampa St Fl 15",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336024730",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 NE 214th St Ste 801",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801269",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 N Powerline Rd",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330695713",
            "country_code": "US",
            "telephone_number": "954-970-8805",
            "fax_number": "954-971-9503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANNOT",
        "first_name": "KATHLEEN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME89771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270248700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.