Hannah Fordred, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9115156 Issued in FL

Practice address

2100 State Ave
Panama City, FL 32405-4587

Phone

(850) 763-0036

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocala Oncology Center PLGroup PAC ID 6901950856, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
• Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hannah.fordred@fca.ikm.direct-ci.com

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.

• Ocala Oncology Center PL

  • Hematology & Oncology Physician
  • Ocala, FL
  • NPI 1356300958

  Medical

  Medicare reassignment Care Compare group NPD
• Ocala Oncology Center, PL

  • Community/Retail Pharmacy
  • Ocala, FL
  • NPI 1093206039
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Sacred Heart Gulf

  • Rural Acute Care Hospital
  • Port St Joe, FL
  • NPI 1083941678
  Care Compare affiliation
• Bay County Health System, LLC

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation
• Bay Hospital, Inc

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589
  Care Compare affiliation

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1730558172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDRED",
        "first_name": "HANNAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057844",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "4603",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9115156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113338100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32130261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Folmar, LIFESTYLE COACH
• Raven Lynn Folmar
• Denise Folsom, MS
• Maria Fonseca
• Curtis Foote
• Forest Park Dental PLLC
• Forest Park Medical Associates
• Forest Park Smiles on 11TH, PLLC
• Forget-Me-Not Dementia Clinic and Other Neurology Services LLC
• Anna Alise Forgue

• Medical Physician Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.

Verify at the official NPI Registry.