Individual provider Active NPI

Pamela James Warner, D.O.

  • Orthopaedic Trauma Physician
  • Fort Walton Beach, FL
National Provider Identifier
1205122736
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
OS14899 Issued in FL
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107003126 FL Practitioner - Orthopedic Surgery 0941593651 Reassigns benefits to 1 organization

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
Hughston Clinic Southeast PCGroup PAC ID 9234423971, 48 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14899FLMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic Southeast PC Orthopaedic Trauma CurrentSince Sep 1, 2017 Accepting new patients
Hughston Clinic Southeast PC CurrentSince Sep 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.