Individual provider Active NPI

Tammy Howerton, PA-C

  • Physician Assistant
  • Defuniak Springs, FL
National Provider Identifier
1285619940
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109503 Issued in FL
Practice address
1045 US Highway 331 S
Defuniak Springs, FL 32435-3379
Phone
(850) 892-3366
Fax
(833) 451-2226
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109503 FL Primary

Addresses

Primary practice location

1045 US Highway 331 S
Defuniak Springs, FL 32435-3379

Mailing address

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8100

Other names 1

  • Tammy Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151123002651 VA Practitioner - Physician Assistant 2567549488 Reassigns benefits to 1 organization
I20160928000621 FL Practitioner - Physician Assistant 2567549488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White-Wilson Medical Center PAGroup PAC ID 4082510607, 48 clinicians

Practice addresses (Care Compare)

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8150

130 E Redstone Ave
Crestview, FL 32539-5348
Phone (850) 398-8725

8990 Navarre Pkwy
Navarre, FL 32566-2216
Phone (850) 396-0108

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • Amedisys Home Health Home health agency, Pensacola, FL, CCN 108309
  • North Walton Doctors Hospital Hospital, Defuniak Springs, FL, CCN 100365
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Affiliate Practice I, LLC CurrentSince Jan 1, 2016 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

480 Fletcher Dr
Ste 3
Warrenton, VA 20186
Phone (571) 261-3529

Interoperability endpoints

  • Direct secure messaging: tammy.howerton.1@21123.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1285619940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-863-8100",
            "fax_number": "850-863-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353379",
            "telephone_number": "850-892-3366",
            "fax_number": "833-451-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWERTON",
        "first_name": "TAMMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "EVANS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Defuniak Springs, FL

Sources for this page

Verify at the official NPI Registry.