Individual provider Active NPI

Victoria Ann Jarrett, PA-C

  • Physician Assistant
  • Panama City, FL
National Provider Identifier
1497707145
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107686 Issued in FL
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

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
023456400MedicaidFL
MD320OtherFLMEDICARE

Other names 1

  • Ms. Victoria Jarrett Porter Former name

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
I20180126002577 FL Practitioner - Physician Assistant 7012991144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.5 of 100Reported as group
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

LicenseStateTypeSpecialty
PA9107686FLMDPhysician Assistant
006217GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.