Individual provider Active NPI

James Joseph Jennings, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1710929930
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME59408 Issued in FL
Practice address
7775 SW 87TH Avenue
Suite 100
Miami, FL 33173
Phone
(305) 661-0181
Fax
(786) 422-7594
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME059408 FL
Family Medicine Physician 207Q00000X ME59408 FL Primary

Addresses

Primary practice location

7775 SW 87TH Avenue
Suite 100
Miami, FL 33173

Mailing address

11921 South Dixie Hwy, Ste. 201
Pinecrest, FL 33156
Phone (305) 803-1519

Other identifiers 1

IdentifierTypeStateIssuer
279307500MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000282 FL Practitioner - Family Practice 7315977782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11921 S Dixie Hwy
Suite 201
Pinecrest, FL 33156-4449
Phone (786) 868-0503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME059408FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James J Jennings MD LLC Family Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

11921 S Dixie Hwy
Ste 201
Pinecrest, FL 33156
Phone (786) 227-6811

Organizations & group practices 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1710929930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 SOUTH DIXIE HWY, STE. 201",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-803-1519",
            "fax_number": "786-524-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 SW 87TH AVENUE",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-661-0181",
            "fax_number": "786-422-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME059408",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME59408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279307500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.