Individual provider Active NPI

Jeannie Farris, APRN

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1063031763
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11006754 Issued in FL
Practice address
2202 State Ave Ste 201
Panama City, FL 32405-4582
Phone
(850) 785-0029
Fax
(850) 785-7600
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11006754 FL Primary

Addresses

Primary practice location

2202 State Ave Ste 201
Panama City, FL 32405-4582

Mailing address

2202 State Ave Ste 201
Panama City, FL 32405-4582

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506000276 FL Practitioner - Nurse Practitioner 2860879178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Spine LLCGroup PAC ID 3779566013, 7 clinicians

Practice addresses (Care Compare)

2202 State Ave
Suite 201
Panama City, FL 32405-4582
Phone (850) 785-0029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
91.75
Promoting interoperability
98
Improvement activities
40
Cost
73.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006754FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeannie Farris Aprn LLC Family Medicine Current Accepting new patients
Brain and Spine LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

2202 State Ave
Ste 201
Panama City, FL 32405
Phone (850) 769-3261

Interoperability endpoints

  • Direct secure messaging: jeanniefarris@brainspine.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1063031763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054582",
            "telephone_number": "850-785-0029",
            "fax_number": "850-785-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "JEANNIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2022-08-03",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11006754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.