Active NPI
James Joseph Jennings, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1710929930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME59408
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279307500 | Medicaid | FL |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME059408 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James J Jennings MD LLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Pinecrest, FL
- NPI 1326514167
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.