Individual provider Active NPI

Doris M Carmichael, ARNP

  • Family Nurse Practitioner
  • Eastpoint, FL
National Provider Identifier
1407112063
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9257201 Issued in FL
Practice address
158 US Highway 98
Eastpoint, FL 32328-3304
Phone
(850) 670-8585
Fax
(850) 670-8582
NPI assigned
Apr 9, 2012
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9257201 FL Primary

Addresses

Primary practice location

158 US Highway 98
Eastpoint, FL 32328-3304

Mailing address

623 US Highway 98
Eastpoint, FL 32328-3571

Other identifiers 1

IdentifierTypeStateIssuer
004872500MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000308 FL Practitioner - Nurse Practitioner 0547423402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Island Dr
Suite 14
Eastpoint, FL 32328-3264
Phone (850) 799-1126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9257201FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forgotten Coast Healing Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

35 Island Dr
Ste 14
Eastpoint, FL 32328
Phone (850) 660-9068

Interoperability endpoints

  • Direct secure messaging: doris.carmichael.1@32147.direct.athenahealth.com

Organizations & group practices 2

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 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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1407112063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 US HIGHWAY 98",
            "city": "EASTPOINT",
            "state": "FL",
            "postal_code": "323283571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 US HIGHWAY 98",
            "city": "EASTPOINT",
            "state": "FL",
            "postal_code": "323283304",
            "telephone_number": "850-670-8585",
            "fax_number": "850-670-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "DORIS",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9257201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004872500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpoint, FL

Sources for this page

Verify at the official NPI Registry.