Active NPI
Tanya E Hunter, MD
- Family Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME98677
- Practice address
- 11512 Lake Mead Ave
Suite 521
Jacksonville, FL 32256-9680 - Phone
- (904) 807-9747
- Fax
- (904) 807-9746
- NPI assigned
- Feb 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME98677 | FL | Primary |
Addresses
Primary practice location
11512 Lake Mead Ave
Suite 521
Jacksonville, FL 32256-9680
Mailing address
11512 Lake Mead Ave
Suite 521
Jacksonville, FL 32256-9680
Phone (904) 807-9747
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280423900 | Medicaid | FL | |
| 20039 | Other | FL | BCBS |
| 486565967Z | Medicaid | GA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Roberts Dr
Jacksonville Beach, FL 32250-3253
Phone (904) 396-5682
14534 Old Saint Augustine Rd
Suite 3110
Jacksonville, FL 32258-2617
Phone (904) 396-5682
1747 Baptist Clay Dr
Suite 250
Fleming Island, FL 32003-8502
Phone (904) 516-1000
836 Prudential Dr
Suite 105
Jacksonville, FL 32207-8300
Phone (904) 396-5682
Hospital & facility affiliations
- Trilogy Home Healthcare
- Concierge Home Care
- Bravery Home Healthcare
- Confident Care of Florida Corp
- Baptist Home Health Care by Bayada
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
- Mayo Clinic
- Ascension St Vincent'S Southside
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 895 |
| Removal of skin lesions | 12 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- tanya.hunter.1@24008.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1891932463
-
- Home Health Agency
- Jacksonville, FL
- NPI 1871529347
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Home Health Agency
- Jacksonville, FL
- NPI 1023612884
-
- Home Health Agency
- Saint Augustine, FL
- NPI 1619742657
-
- Home Health Agency
- Jacksonville, FL
- NPI 1871556324
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1891782470
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1033397989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11512 LAKE MEAD AVE",
"address_2": "SUITE 521",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569680",
"telephone_number": "904-807-9747",
"fax_number": "904-807-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11512 LAKE MEAD AVE",
"address_2": "SUITE 521",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569680",
"telephone_number": "904-807-9747",
"fax_number": "904-807-9746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "TANYA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-02",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME98677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280423900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20039",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "486565967Z",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.