Individual provider Active NPI

Joanna L McGetrick, M.D.

  • Dermatology Physician
  • St Augustine, FL
National Provider Identifier
1184940777
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME123823 Issued in FL
Practice address
109 Whitehall Dr Unit 117
St Augustine, FL 32086-5266
Phone
(904) 460-2388
Fax
(407) 990-1179
NPI assigned
Apr 8, 2010
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Dermatology Physician 207N00000X ME123823 FL Primary

Addresses

Primary practice location

109 Whitehall Dr Unit 117
St Augustine, FL 32086-5266

Mailing address

109 Whitehall Dr Unit 117
St Augustine, FL 32086-5266
Phone (904) 460-2388

Other names 1

  • Joanna Atkins Former name

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
I20150826001125 FL Practitioner - Dermatology 2466676846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Chicago, Pritzker School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Whitehall Dr
Unit 117
St Augustine, FL 32086-5266
Phone (904) 460-2388

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision85
Removal of skin lesions1894
Removal of skin cancer168
Skin biopsy696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123823FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology of Florida LLC Dermatology CurrentSince Feb 13, 2018 Accepting new patients
Vascular Associates LLC Past Accepting new patients

Locations

109 Whitehall Dr
#117
Saint Augustine, FL 32086
Phone (904) 460-2388

1201 Arapaho Ave
Ste A
St Augustine, FL 32084
Phone (904) 460-2388

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJADBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJADBD/Endpoint/BJADBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1184940777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WHITEHALL DR UNIT 117",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865266",
            "telephone_number": "904-460-2388",
            "fax_number": "904-460-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WHITEHALL DR UNIT 117",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865266",
            "telephone_number": "904-460-2388",
            "fax_number": "407-990-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGETRICK",
        "first_name": "JOANNA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME123823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "ATKINS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.