Active NPI
Victoria Ann Jarrett, PA-C
- Physician Assistant
- Panama City, FL
National Provider Identifier
1497707145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107686
- Practice address
- 2011 Harrison Ave
Panama City, FL 32405-4545 - Phone
- (850) 691-4188
- Fax
- (833) 687-1541
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 006217 | GA | |
| Physician Assistant | 363A00000X | PA9107686 | FL | Primary |
Addresses
Primary practice location
2011 Harrison Ave
Panama City, FL 32405-4545
Mailing address
268 Lilly Bell LN
Freeport, FL 32439-7623
Other practice location 1
268 Lilly Bell Ln
Freeport, FL 32439-7623
Phone (205) 913-4922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023456400 | Medicaid | FL | |
| MD320 | Other | FL | MEDICARE |
Other names 1
- Ms. Victoria Jarrett Porter
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 76.5 of 100
- Quality
- 47.27
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107686 | FL | MD | Physician Assistant |
| 006217 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| Surgical Assistants of America, Inc. | Surgical | Past | Accepting new patients |
| Orthopaedic Specialists of Alabama PC | Past | Accepting new patients |
Locations
688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155
Interoperability endpoints
- victoria.jarrett.1@18802.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.
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1710168117
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1831133586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1497707145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 LILLY BELL LN",
"city": "FREEPORT",
"state": "FL",
"postal_code": "324397623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 HARRISON AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054545",
"telephone_number": "850-691-4188",
"fax_number": "833-687-1541"
}
],
"practiceLocations": [
{
"address_1": "268 Lilly Bell Ln",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "FL",
"postal_code": "324397623",
"country_code": "US",
"telephone_number": "205-913-4922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARRETT",
"first_name": "VICTORIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "006217",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023456400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MD320",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "PORTER",
"middle_name": "JARRETT",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.