Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susanna Louise Shepard, PA-C

Individual provider Physician Assistant · NPI 1831819010

Susanna Louise Shepard, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Baptist MD Anderson Cancer Physicians Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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

1301 Palm Ave Ste 600
Jacksonville, FL 32207-8432
Phone: (904) 202-7300
Fax: (904) 202-2754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116315 (FL)

Record details

NPI number1831819010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESMay 6, 2025
Certification dateMay 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 Baptist Md Anderson Cancer Physicians Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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