Individual provider Active NPI

Stacy Twigg, P.A.

  • Surgical Physician Assistant
  • Panama City, FL
National Provider Identifier
1467406512
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
085001809 Issued in IL
Practice address
1827 Harrison Ave
Panama City, FL 32405-7605
Phone
(850) 785-4344
Fax
(850) 785-6568
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 085001809 IL Primary

Addresses

Primary practice location

1827 Harrison Ave
Panama City, FL 32405-7605

Mailing address

1827 Harrison Ave
Panama City, FL 32405-7605
Phone (850) 785-4344

Other identifiers 2

IdentifierTypeStateIssuer
209119OtherILMEDICARE PTAN LOCALITY 16
209118OtherILMEDICARE PTAN LOCALITY 15

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
I20130625000575 FL Practitioner - Physician Assistant 4880661859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Orthopedic Specialists PAGroup PAC ID 4082511001, 21 clinicians

Practice addresses (Care Compare)

1827 Harrison Ave
Panama City, FL 32405-7605
Phone (850) 785-4344

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Panama City, FL, CCN 108380
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince May 15, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince May 15, 2024 Accepting new patients
Orthopaedic Associates, PA CurrentSince Apr 29, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Midwest Orthopaedics at Rush, LLC Past Accepting new patients

Locations

5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646

36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646

1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210

1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

554 Twin Cities Blvd
Ste D
Niceville, FL 32578
Phone (850) 315-9210

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344

Interoperability endpoints

  • Direct secure messaging: stacy.twigg.1@9109.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1467406512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057605",
            "telephone_number": "850-785-4344",
            "fax_number": "850-785-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057605",
            "telephone_number": "850-785-4344",
            "fax_number": "850-785-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWIGG",
        "first_name": "STACY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085001809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LOCALITY 16",
            "identifier": "209119",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LOCALITY 15",
            "identifier": "209118",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.