Active NPI
Joanna L McGetrick, M.D.
- Dermatology Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME123823
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 85 |
| Removal of skin lesions | 1894 |
| Removal of skin cancer | 168 |
| Skin biopsy | 696 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME123823 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Dermatology of Florida LLC | Dermatology | Current | 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
- https://fhir4.healow.com/fhir/r4/BJADBD
- 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.
-
- Dermatology Physician
- St Augustine, FL
- NPI 1952800112
-
- Specialist
- Panama City, FL
- NPI 1821129313
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.