Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Knight Demille, PA-C

Individual provider Physician Assistant · NPI 1154028751

Jeremy Knight Demille, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Lyerly Baptist Inc, a 70-clinician group, works from 2 locations and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419
Phone: (904) 388-6518
Fax: (904) 384-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 836 Prudential Dr Ste 1400, Jacksonville, FL 32207-8340 — (904) 388-6518

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116800 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9116800 (FL)

Record details

NPI number1154028751
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lyerly Baptist Inc — 70 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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