Active NPI
Michael A Jenkins, MD
- Urology Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0086944
- Practice address
- 80 Doctors Dr
Panama City, FL 32405-4517 - Phone
- (850) 785-8557
- Fax
- (850) 785-3497
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0086944 | FL | Primary |
Addresses
Primary practice location
80 Doctors Dr
Panama City, FL 32405-4517
Mailing address
12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981
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
- Urology
- Education
- University of Tennessee, HSC, College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 Centre Pointe Blvd
Tallahassee, FL 32308-4894
Phone (850) 309-0400
500 W 11TH St
Panama City, FL 32401-6304
Phone (850) 785-8557
506 Palmetto St
New Smyrna Beach, FL 32168-7325
Phone (386) 427-9554
609 W Highland Blvd
Inverness, FL 34452-4638
Phone (352) 726-9707
Hospital & facility affiliations
- Ascension Sacred Heart Bay
- HCA Florida Gulf Coast Hospital
- Sacred Heart Hospital on the Emerald Coast
- Ascension Sacred Heart Gulf
- Northwest Florida Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.09 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0086944 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology Institute, LLC | Urology | Current | Accepting new patients |
| Advanced Urology Institute, LLC | Urology | Current | Accepting new patients |
| Advanced Urology Institute LLC | Urology | Past | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707
506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554
12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981
80 Doctors Dr
Panama City, FL 32405
Phone (850) 785-8557
500 W 11th St
Panama City, FL 32401
Phone (850) 785-8557
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
Organizations & group practices 4
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.
-
- Urology Physician
- Oxford, FL
- NPI 1023447935
-
- Durable Medical Equipment & Medical Supplies
- Inverness, FL
- NPI 1700024163
Urology
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1790771277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12109 COUNTY ROAD 103",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842951",
"telephone_number": "352-205-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 DOCTORS DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054517",
"telephone_number": "850-785-8557",
"fax_number": "850-785-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0086944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.