James Marcus Jimenez, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME82824 Issued in FL

Practice address

12671 Emerald Coast Pkwy W Unit 210
Destin, FL 32550-8304

Phone

(850) 837-4043

Fax

(850) 837-5245

NPI assigned

Feb 7, 2006

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional Radiology

Education

New York Medical College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elite Vein Center of Destin LLC

  dba The Vein Center of Florida

  • Medical Specialty Clinic/Center
  • Destin, FL
  • NPI 1548343098

  AL

  Medicare reassignment NPD Authorized official
• Lagrange Troup County Hospital Authority

  dba West Georgia Medical Center

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1992779748
  NPD (past)
• Metroamerican Radiology Consultants P a

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1386678092
  NPD (past)
• Montgomery Radiology Associates, PA

  • Specialist
  • Montgomery, AL
  • NPI 1023046604
  NPD (past)
• Radiology Associates of Elberton, L.L.C.

  • Diagnostic Radiology Physician
  • Lagrange, GA
  • NPI 1396711677
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1093788549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12671 US HWY 98 WEST",
            "address_2": "SUITE 210",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325508304",
            "telephone_number": "850-837-4043",
            "fax_number": "850-837-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12671 EMERALD COAST PKWY W UNIT 210",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325508304",
            "telephone_number": "850-837-4043",
            "fax_number": "850-837-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JAMES",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME82824",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME82824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF",
            "identifier": "000058867",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF",
            "identifier": "051504364",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Emergency Consultants
• Nick Jazayeri, DMD
• Jennifer Clauson MSW PA
• Daniel Frank Jiannetto, M.D.
• Jill M Allen Arnp LLC
• John T. Saeva, D.P.M., P.a. (Destin Podiatry)
• David P. Johnson, M.D.
• Jamie Smith Johnston, PH.D.
• Sherri Musgrove Johnston, RN
• Rachel Lauren Hidalgo Jozwiak, MM, MT-BC

• Diagnostic Radiology Physician in Destin, FL
• Providers in Destin, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.

Verify at the official NPI Registry.