DR. KATHLEEN LAWRENCE JEANNOT (M.D.) – Family Medicine Physician, NPI 1932153533
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. KATHLEEN LAWRENCE JEANNOT (M.D.)
5100 COCONUT CREEK PKWY
MARGATE, FL 330633913
Phone: (954) 281-7700
Fax: (954) 715-7603
Type: Location
168 N Powerline Rd
Pompano Beach, FL 330695713
Phone: (954) 970-8805
Fax: (954) 971-9503
Type: Location
2589 N State Road 7
Lauderdale Lakes, FL 333132778
Phone: (954) 714-1264
Type: Location
PMR Stronghold, 1395, Northwest 167th Street, Miami Gardens, Miami-Dade County, Florida, 33169, United States
MIAMI GARDENS, FL 331695710
Phone: (954) 281-7700
Fax: (954) 715-7603
Type: Mailing
State Road 7, Lauderdale Lakes, Broward County, Florida, 33319-5617, United States
LAUDERDALE LAKES, FL 333132778
Phone: (954) 714-1264
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040826001195 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | LA | |
| Family Practice | FL | |
| P S Y C H I A T R Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Family Practice | NY | |
| - | FL | |
| - | FL | |
| Registered Dietitian Or Nutrition Professional | FL | |
| Psychiatry, General Practice | FL | |
| - | IL |
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