Individual provider Active NPI

Christopher L Willingham, M.D.

  • Ophthalmology Physician
  • Panama City, FL
National Provider Identifier
1225096183
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME90865 Issued in FL
Practice address
2577 Huntcliff LN
Panama City, FL 32405-4902
Phone
(850) 763-7007
Fax
(850) 763-7002
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME90865 FL Primary

Addresses

Primary practice location

2577 Huntcliff LN
Panama City, FL 32405-4902

Mailing address

2439 Care Dr
Tallahassee, FL 32308-4580
Phone (850) 942-6700

Other identifiers 1

IdentifierTypeStateIssuer
270088300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040915001011 FL Practitioner - Ophthalmology 0345217642 Reassigns benefits to 1 organization
I20041228000472 AL Practitioner - Ophthalmology 0345217642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Mercer University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Vitreoretinal Associates, PLGroup PAC ID 8426153859, 6 clinicians

Practice addresses (Care Compare)

2439 Care Dr
Tallahassee, FL 32308-4580
Phone (850) 942-6700

2575 Huntcliff LN
Panama City, FL 32405-4902
Phone (850) 942-6700

2577 Huntcliff LN
Panama City, FL 32405-4902
Phone (850) 763-7007

3009 4TH St
Marianna, FL 32446-2122
Phone (850) 942-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90865FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Vitreoretinal Associates, PL Ophthalmology CurrentSince Apr 1, 2007 Accepting new patients
Donald W Barham, M.D. Ophthalmology Past Accepting new patients
Dothan Ophthalmology Ophthalmology Past Accepting new patients

Locations

1909 Honeysuckle Rd
Ste 2
Dothan, AL 36305
Phone (334) 699-5076

3009 4th St
Marianna, FL 32446
Phone (850) 526-3937

2577 Huntcliff Ln
Panama City, FL 32405
Phone (850) 763-7007

2439 Care Dr
Tallahassee, FL 32308
Phone (850) 942-6700

Interoperability endpoints

  • Direct secure messaging: christopher.willingham@direct.sva.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1225096183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 CARE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084580",
            "telephone_number": "850-942-6700",
            "fax_number": "850-942-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-763-7007",
            "fax_number": "850-763-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME90865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270088300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.