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

Katie Longo Cantrell, MD

Individual provider Family Medicine Physician · NPI 1538541768

Katie Longo Cantrell, MD is a Family Practice in Ponte Vedra Beach, Florida. Qualified in 2015, 11 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Illinois.

Years since qualifying
11
Licensed in
FL, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 A1A N Ste 101
Ponte Vedra Beach, FL 32082-2260
Phone: (904) 273-6900
Fax: (904) 390-7479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME136447 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125-066188 (IL)

Record details

NPI number1538541768
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2015
Last updated in NPPESAugust 21, 2022
Certification dateAugust 21, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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