Individual provider Active NPI

Carmel Dillard Hawkins, ARNP FNP-BC

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1114099660
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9183793 Issued in FL
Practice address
9961 E County Highway 30a
Suite 5
Panama City Beach, FL 32413-7282
Phone
(850) 231-9286
Fax
(850) 231-9287
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9183793 FL Primary

Addresses

Primary practice location

9961 E County Highway 30a
Suite 5
Panama City Beach, FL 32413-7282

Mailing address

9961 E County Highway 30a
Suite 5
Panama City Beach, FL 32413-7282
Phone (850) 231-9286

Other identifiers 1

IdentifierTypeStateIssuer
305402100MedicaidFL

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
I20060206000588 FL Practitioner - Nurse Practitioner 9537173984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Family Practice and Acute Care Center LLCGroup PAC ID 3678603545, 2 clinicians

Practice addresses (Care Compare)

9961 E County Hwy 30a
Suite 5
Seacrest, FL 32461-7282
Phone (850) 231-9286

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9183793FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Practice & Acute Care Center LLC CurrentSince Apr 6, 2010 Accepting new patients

Locations

9961 E County Highway 30A
Ste 5
Seacrest, FL 32461
Phone (850) 231-9286

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.

Hospital & facility affiliations 4

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1114099660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 E COUNTY HIGHWAY 30A",
            "address_2": "SUITE 5",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324137282",
            "telephone_number": "850-231-9286",
            "fax_number": "850-231-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 E COUNTY HIGHWAY 30A",
            "address_2": "SUITE 5",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324137282",
            "telephone_number": "850-231-9286",
            "fax_number": "850-231-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CARMEL",
        "middle_name": "DILLARD",
        "credential": "ARNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9183793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305402100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.