Organization Active NPI

Vela Tide PLLC

  • Primary Care Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1700726346
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VELA TIDE PLLC
Doing business as
drjfab
Practice address
22606 Panama City Beach Pkwy
Panama City Beach, FL 32413-1150
Phone
(850) 809-8901
Fax
(850) 732-8666
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Dr. Jeremiah Fabry, DC FNPNPI 1316050719
Title
Manager
Phone
(512) 744-8674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

22606 Panama City Beach Pkwy
Panama City Beach, FL 32413-1150

Mailing address

22606 Panama City Beach Pkwy
Panama City Beach, FL 32413-1150
Phone (850) 809-8901

Other names 1

  • drjfab Doing business as

National Provider Directory

National Provider Directory

Locations

22606 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 230-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1700726346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22606 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324131150",
            "telephone_number": "850-809-8901",
            "fax_number": "850-732-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22606 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324131150",
            "telephone_number": "850-809-8901",
            "fax_number": "850-732-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELA TIDE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "FABRY",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-744-8674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "drjfab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.