Individual provider Active NPI

Jacob Hawkins, M.D.

  • Orthopaedic Surgery Physician
  • Destin, FL
National Provider Identifier
1154855500
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME155488 Issued in FL
Practice address
36474C Emerald Coast Pkwy
Destin, FL 32541-6700
Phone
(850) 863-2153
NPI assigned
Apr 12, 2017
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME155488 FL Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X ME155488 FL

Addresses

Primary practice location

36474C Emerald Coast Pkwy
Destin, FL 32541-6700

Mailing address

1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639
Phone (850) 863-2153

Other practice location 1

5300 S Ferdon Blvd
Crestview, FL 32536-5235
Phone (850) 863-2153

Other practice location 2

554 Twin Cities Blvd Ste D
Niceville, FL 32578-1058
Phone (850) 863-2153

Other practice location 3

1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639
Phone (850) 863-2153

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323001299 FL Practitioner - Orthopedic Surgery 4688941768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Florida State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone (850) 344-1646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement29
Knee replacement35
Lower limb (leg) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155488FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Orthopaedic Surgery CurrentSince Mar 15, 2022 Accepting new patients
Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Orthopaedic Associates, PA Orthopaedic Surgery Current Accepting new patients
Florida Clinical Practice Association Inc Orthopaedic Surgery CurrentSince Mar 15, 2022 Accepting new patients
North Florida Surgeons, PA Orthopaedic Surgery CurrentSince May 19, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince May 19, 2024 Accepting new patients
Orthopaedic Associates PA Orthopaedic Surgery Past Accepting new patients

Locations

5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646

36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154

36474C Emerald Coast Pkwy
Destin, FL 32541

36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646

1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277

1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646

1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

554 Twin Cities Blvd
Ste D
Niceville, FL 32578
Phone (850) 315-9210

Interoperability endpoints

  • Direct secure messaging: jacob.hawkins.1@9109.direct.athenahealth.com
  • Direct secure messaging: jhawkins573647@direct.shands.ufl.edu

Organizations & group practices 7

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 9

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1154855500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476639",
            "telephone_number": "850-863-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36474C EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325416700",
            "telephone_number": "850-863-2153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 S Ferdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325365235",
            "country_code": "US",
            "telephone_number": "850-863-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "554 Twin Cities Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325781058",
            "country_code": "US",
            "telephone_number": "850-863-2153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1034 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476639",
            "country_code": "US",
            "telephone_number": "850-863-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME155488",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME155488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.