Individual provider Active NPI

Jacob Douglas Warmath, MD

  • Ophthalmology Physician
  • Biloxi, MS
National Provider Identifier
1700376795
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32421 Issued in MS
Practice address
301 Fisher St
Biloxi, MS 39534-2508
Phone
(282) 376-3130
NPI assigned
May 15, 2018
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 156595 FL
Ophthalmology Physician 207W00000X 32421 MS Primary

Addresses

Primary practice location

301 Fisher St
Biloxi, MS 39534-2508

Mailing address

1720A Medical Park Dr Ste 330
Biloxi, MS 39532-2127
Phone (228) 396-3937

Other practice location 1

1720A Medical Park Dr Ste 330
Biloxi, MS 39532-2127
Phone (228) 396-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220615002679 FL Practitioner - Ophthalmology 5597144956 Reassigns benefits to 2 organizations
I20240627001876 MS Practitioner - Ophthalmology 5597144956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-4997

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156595FLMDOphthalmology Physician
32421MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Ophthalmology CurrentSince May 4, 2022 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Feb 17, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Feb 17, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Center for Eye Care LTD Ophthalmology CurrentSince May 6, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 4, 2022 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

6201 W Newberry Rd
Gainesville, FL 32605
Phone (352) 265-2020

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

1720A Medical Park Dr
Ste 330
Biloxi, MS 39532
Phone (228) 396-3937

3420 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 396-3937

Interoperability endpoints

  • Direct secure messaging: jwarmath22146@tallahasseememorial.direct-ci.com
  • Direct secure messaging: jwarmath576788@direct.shands.ufl.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1700376795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 330",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322127",
            "telephone_number": "228-396-3937",
            "fax_number": "228-396-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "282-376-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720A Medical Park Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395322127",
            "country_code": "US",
            "telephone_number": "228-396-3937",
            "fax_number": "228-396-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARMATH",
        "first_name": "JACOB",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "156595",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "32421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.