Individual provider Active NPI

Leslie A McDonald, PA-C

  • Physician Assistant
  • Middleburg, FL
National Provider Identifier
1982320610
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116933 Issued in FL
Practice address
1821 Blanding Blvd Ste 1
Middleburg, FL 32068-3839
Phone
(904) 406-3160
Fax
(904) 406-3159
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 PA9116933 FL Primary
Surgical Physician Assistant 363AS0400X PA9116933 FL

Addresses

Primary practice location

1821 Blanding Blvd Ste 1
Middleburg, FL 32068-3839

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

421 Kingsley Ave Ste 300
Orange Park, FL 32073-4898
Phone (904) 621-0643

Other practice location 2

8262 Point Meadows Dr Ste 202
Jacksonville, FL 32256-4702
Phone (904) 265-4310

Other practice location 3

404 NW Hall Of Fame Dr
Lake City, FL 32055-4833
Phone (904) 282-6331

Other practice location 4

1865 Lime St Ste 101
Fernandina Beach, FL 32034-4779
Phone (904) 321-2422

Other practice location 5

2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233
Phone (904) 264-8801

Other practice location 6

463386 State Road 200 Unit A
Yulee, FL 32097-3240
Phone (904) 468-3080

Other practice location 7

280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 751-4906

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
I20240402001938 FL Practitioner - Physician Assistant 5597103101 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9116933FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Mar 1, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Mar 1, 2024 Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

4114 Sunbeam Rd
Ste 403
Jacksonville, FL 32257
Phone (904) 262-7368

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

Interoperability endpoints

  • Direct secure messaging: leslie.mcdonald.1@25110.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1982320610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BLANDING BLVD STE 1",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683839",
            "telephone_number": "904-406-3160",
            "fax_number": "904-406-3159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Kingsley Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734898",
            "country_code": "US",
            "telephone_number": "904-621-0643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8262 Point Meadows Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322564702",
            "country_code": "US",
            "telephone_number": "904-265-4310",
            "fax_number": "904-264-4311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 NW Hall Of Fame Dr",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320554833",
            "country_code": "US",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 Lime St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344779",
            "country_code": "US",
            "telephone_number": "904-321-2422",
            "fax_number": "904-321-2434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Riverside Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322058233",
            "country_code": "US",
            "telephone_number": "904-264-8801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "463386 State Road 200 Unit A",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973240",
            "country_code": "US",
            "telephone_number": "904-468-3080",
            "fax_number": "904-468-3193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Dundas Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322185517",
            "country_code": "US",
            "telephone_number": "904-751-4906",
            "fax_number": "904-714-3574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116933",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9116933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.