Individual provider Active NPI

Jonathan Doolan, APRN

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1154057198
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019055 Issued in FL
Practice address
2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404
Phone
(850) 250-0021
Fax
(850) 250-0022
NPI assigned
Jul 30, 2022
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 APRN11019055 FL Primary

Addresses

Primary practice location

2306 Martin Luther King Jr Blvd
Panama City, FL 32405-4404

Mailing address

7003 Jolee Rd
Panama City, FL 32404-4436
Phone (850) 890-1291

Other practice location 1

1931 Martin Luther King Jr Blvd
Panama City, FL 32405-5314
Phone (850) 740-5010

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
I20221004000498 FL Practitioner - Nurse Practitioner 5395121065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2306 N Hwy 77
Panama City, FL 32405-5280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11019055FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Point Health Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
Access Point Healthcare Urgent Care LLC CurrentSince Nov 1, 2022 Accepting new patients
Access Point Health Group, LLC PastSince Oct 1, 2022 Accepting new patients

Locations

1931 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 215-7093

2306 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 250-0021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29184/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.doolan.1@29184.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1154057198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 JOLEE RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324044436",
            "telephone_number": "850-890-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054404",
            "telephone_number": "850-250-0021",
            "fax_number": "850-250-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324055314",
            "country_code": "US",
            "telephone_number": "850-740-5010",
            "fax_number": "850-804-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLAN",
        "first_name": "JONATHAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.