Individual provider Active NPI

Michael Christopher Hanes, M.D.

  • Interventional Pain Medicine Physician
  • St Augustine, FL
National Provider Identifier
1760708473
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME121093 Issued in FL
Practice address
1100 Plantation Island Dr S Ste 220
Saint Augustine, FL 32080-5174
Phone
(904) 223-3321
Fax
(904) 223-2169
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME121093 FL Primary

Addresses

Primary practice location

1100 Plantation Island Dr S Ste 220
Saint Augustine, FL 32080-5174

Mailing address

5191 First Coast Tech Pkwy
3Rd Floor
Jacksonville, FL 32224-0609
Phone (904) 223-3321

Other practice location 1

5191 First Coast Tech Pkwy
3rd Floor
Jacksonville, FL 32224-0609
Phone (904) 223-3321

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
I20150413000506 FL Practitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4082832266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Michigan State University College of Human Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jacksonville Spine Center PAGroup PAC ID 6901890300, 38 clinicians

Practice addresses (Care Compare)

1100 Plantation Island Dr S
Suite 220
St Augustine, FL 32080-5174
Phone (904) 223-3321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
70.19
Promoting interoperability
98
Improvement activities
40
Cost
68.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Anesthesia Consultants, Inc. CurrentSince Sep 19, 2016 Accepting new patients
Jacksonville Spine Center PA Interventional Pain Medicine CurrentSince Jul 6, 2015 Accepting new patients
Jacksonville Beaches Anesthesia Associates, Inc. CurrentSince Apr 16, 2018 Accepting new patients
Jacksonville Spine Center PA Interventional Pain Medicine CurrentSince Jul 6, 2015 Accepting new patients
North Florida Anesthesia Consultants Inc CurrentSince Sep 19, 2016 Accepting new patients
Consultants in Pain Medicine, LLC Interventional Pain Medicine PastSince May 13, 2021 Accepting new patients
Georgia Spine & Pain Centers Interventional Pain Medicine Past Accepting new patients

Locations

1699 S 14th St
Ste 16
Fernandina Beach, FL 32034
Phone (904) 491-7700

2349 Village Square Pkwy
Ste 107
Fleming Island, FL 32003
Phone (904) 257-0060

15255 Max Leggett Pkwy
Ste 5500
Jacksonville, FL 32218

5191 First Coast Tech Pkwy
Jacksonville, FL 32224
Phone (904) 427-7399

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

2550 Park St
Ste B
Jacksonville, FL 32204
Phone (904) 280-6701

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

1351 13th Ave S
Ste 120
Jax Bch, FL 32250
Phone (904) 257-4020

3316 3rd St S
Ste 200
Jax Bch, FL 32250
Phone (904) 247-8181

1100 Plantation Island Dr S
Saint Augustine, FL 32080

1100 Plantation Island Dr S
Ste 220
Saint Augustine, FL 32080
Phone (904) 436-6420

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.hanes@jspc.eclinicaldirectplus.com
  • Direct secure messaging: mhanes732243@direct.shands.ufl.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1760708473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PLANTATION ISLAND DR S STE 220",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320805174",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5191 First Coast Tech Pkwy",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322240609",
            "country_code": "US",
            "telephone_number": "904-223-3321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANES",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME121093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.