NPIMap

Individual provider Active NPI

Jeffrey A Dann, MD

  • Urology Physician
  • Palm Coast, FL
National Provider Identifier
1174574180
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME79645 Issued in FL
Practice address
21 Hospital Dr Ste 140
Palm Coast, FL 32164
Phone
(386) 445-8530
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 93110 SC
Urology Physician 208800000X 4301512412 MI
Urology Physician 208800000X ME79645 FL Primary

Addresses

Primary practice location

21 Hospital Dr Ste 140
Palm Coast, FL 32164

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981

Other practice location 1

601 John St Ste M-318
Kalamazoo, MI 49007-5383
Phone (269) 349-9745

Other practice location 2

1301 Taylor St Ste A
Columbia, SC 29201-2942
Phone (803) 434-4790

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MI, MT, SC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240229002557 MN Practitioner - Urology 8426042490 Reassigns benefits to 1 organization
I20240802003303 MI Practitioner - Urology 8426042490 Reassigns benefits to 2 organizations
I20250409002339 MT Practitioner - Urology 8426042490 Reassigns benefits to 1 organization
I20250725002310 SC Practitioner - Urology 8426042490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5522

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000

1301 Taylor St
Suite 1a
Columbia, SC 29201-2946
Phone (803) 434-4790

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

305 W Porphyry St
Suite 100
Butte, MT 59701-2000
Phone (406) 723-2961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
80.3

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93110SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince Aug 1, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 22, 2024 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Aug 1, 2024 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Apr 1, 2025 Accepting new patients
Prisma Health Medical Group-Midlands Urology CurrentSince Aug 1, 2025 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 22, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 1, 2025 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Apr 1, 2025 Accepting new patients
Bronson Methodist Hospital CurrentSince Aug 1, 2024 Accepting new patients

Locations

4441 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 788-6880

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1535 Gull Rd
Ste 150
Kalamazoo, MI 49048
Phone (269) 349-9745

601 John St
Ste M-318
Kalamazoo, MI 49007
Phone (269) 345-6197

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

305 W Porphyry St
#100
Butte, MT 59701
Phone (406) 723-2961

305 W Porphyry St
#200
Butte, MT 59701
Phone (406) 496-3627

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

1301 Taylor St
Ste 1A
Columbia, SC 29201
Phone (803) 254-4591

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: jdann859741@direct.ghs.myhfn.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 10

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1174574180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "352-205-8981",
            "fax_number": "352-391-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOSPITAL DR STE 140",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "386-445-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-318",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075383",
            "country_code": "US",
            "telephone_number": "269-349-9745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Taylor St Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012942",
            "country_code": "US",
            "telephone_number": "803-434-4790",
            "fax_number": "803-434-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "93110",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301512412",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME79645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.