Individual provider Active NPI

Hillary H. Doussan, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1831448653
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106738 Issued in FL
Practice address
8333 N. Davis Hwy
Pensacola, FL 32514-6050
Phone
(850) 474-8386
Fax
(850) 474-8522
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106738 FL Primary

Addresses

Primary practice location

8333 N. Davis Hwy
Pensacola, FL 32514-6050

Mailing address

8333 N. Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000360 FL Practitioner - Physician Assistant 6709035017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Medical Center Clinic PAGroup PAC ID 7416860705, 112 clinicians

Practice addresses (Care Compare)

41 Fairpoint Dr
Suite F
Gulf Breeze, FL 32561-4380
Phone (850) 474-8000

5992 Berryhill Rd
Suite 200
Milton, FL 32570-1014
Phone (850) 474-8000

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hillarydoussan@medcenterclinic.direct.emds.com

Organizations & group practices 2

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 1

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1831448653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 N. DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8100",
            "fax_number": "850-474-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 N. DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146050",
            "telephone_number": "850-474-8386",
            "fax_number": "850-474-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUSSAN",
        "first_name": "HILLARY",
        "middle_name": "H.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.