Active NPI
Pamela James Warner, D.O.
- Orthopaedic Trauma Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- OS14899
- Practice address
- 341 Racetrack Rd NW Ste C
Fort Walton Beach, FL 32547-1788 - Phone
- (850) 226-8112
- Fax
- (850) 362-6068
- NPI assigned
- Jun 23, 2011
- Last updated
- Sep 11, 2020
- 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 |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | OS14899 | FL | Primary |
Addresses
Primary practice location
341 Racetrack Rd NW Ste C
Fort Walton Beach, FL 32547-1788
Mailing address
PO Box 370
Fortson, GA 31808-0370
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
- Orthopedic Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Mar Walt Dr
Fort Walton Beach Medical Center
Fort Walton Beach, FL 32547-6708
Phone (850) 862-1111
341 Racetrack Rd NW
Suite B
Fort Walton Beach, FL 32547-1788
Phone (850) 226-8112
449 W 23Rd St
Panama City, FL 32405-4507
Phone (706) 324-6661
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14899 | FL | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughston Clinic Southeast PC | Orthopaedic Trauma | Current | Accepting new patients |
| Hughston Clinic Southeast PC | Current | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
341 Racetrack Rd NW
Ste B
Fort Walton Beach, FL 32547
Phone (850) 226-8112
341 Racetrack Rd NW
Ste C
Fort Walton Beach, FL 32547
Phone (850) 226-8112
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
2202 State Ave
Ste 303
Panama City, FL 32405
Phone (850) 784-1856
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620
Interoperability endpoints
- pamela.warner.1@321.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.
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1225401946
FL, Orthopaedic Trauma
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1770004863
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1205122736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"fax_number": "706-494-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 RACETRACK RD NW STE C",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471788",
"telephone_number": "850-226-8112",
"fax_number": "850-362-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "PAMELA",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "FL",
"license": "OS14899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.