Organization Active NPI

James J Jennings MD LLC

  • Family Medicine Physician
  • Pinecrest, FL
National Provider Identifier
1326514167
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAMES J JENNINGS MD LLC
Practice address
11921 South Dixie Hwy
Ste. 201
Pinecrest, FL 33156
Phone
(786) 868-0503
Fax
(786) 524-0956
NPI assigned
Oct 19, 2018
Last updated
Oct 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
James Joseph Jennings, MDNPI 1710929930
Title
Medical Director
Phone
(305) 803-1519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11921 South Dixie Hwy
Ste. 201
Pinecrest, FL 33156

Mailing address

11921 South Dixie Hwy
Ste. 201
Pinecrest, FL 33156
Phone (786) 868-0503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190610002050 FL Part B Supplier - Clinic/Group Practice 7012240864 Receives reassigned benefits from 1 practitioner
Practice locations: Pinecrest, FL

National Provider Directory

National Provider Directory

Locations

11921 S Dixie Hwy
Ste 201
Pinecrest, FL 33156
Phone (786) 868-0503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1326514167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 SOUTH DIXIE HWY",
            "address_2": "STE. 201",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "786-868-0503",
            "fax_number": "786-524-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 SOUTH DIXIE HWY",
            "address_2": "STE. 201",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "786-868-0503",
            "fax_number": "786-524-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J JENNINGS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-803-1519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.