Individual provider Active NPI

Jennifer L Wit, PA-C

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1104925718
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA9100986 Issued in FL
Practice address
2202 State Ave Ste 303
Panama City, FL 32405-4590
Phone
(850) 769-1462
Fax
(850) 249-1009
NPI assigned
Sep 21, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 PA9100986 FL Primary

Addresses

Primary practice location

2202 State Ave Ste 303
Panama City, FL 32405-4590

Mailing address

2202 State Ave Ste 303
Panama City, FL 32405-4590
Phone (850) 769-1462

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
I20041006000952 FL Practitioner - Physician Assistant 5991764870 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast Medical Center Primary Care LLCGroup PAC ID 0648288589, 4 clinicians

Practice addresses (Care Compare)

1800 Jenks Ave
Panama City, FL 32405-4642
Phone (850) 784-2645

2202 State Ave
Suite 207
Panama City, FL 32405-4582
Phone (850) 769-1462

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jennifer.wit.p1@direct.ddc.nextgenshare.com
  • Direct secure messaging: jennifer.wit@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1104925718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 303",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054590",
            "telephone_number": "850-769-1462",
            "fax_number": "850-249-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 303",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054590",
            "telephone_number": "850-769-1462",
            "fax_number": "850-249-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIT",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9100986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.