Individual provider Active NPI

James Bernard Hunt, PA

  • Physician Assistant
  • Casselberry, FL
National Provider Identifier
1861530685
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1478 Issued in TN
Practice address
3950 S US Highway 17/92
Suite 1040
Casselberry, FL 32707-3295
Phone
(407) 906-2188
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1478 TN Primary
Physician Assistant 363A00000X 9109535 FL

Addresses

Primary practice location

3950 S US Highway 17/92
Suite 1040
Casselberry, FL 32707-3295

Mailing address

4250 Ridge Haven Rd
Tallahassee, FL 32305-1446
Phone (407) 906-2188

Other identifiers 3

IdentifierTypeStateIssuer
4152998OtherTNBLUE CROSS
P00406239OtherMSRAILROAD MEDICARE
05620342MedicaidMS

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
I20180425000494 FL Practitioner - Physician Assistant 4486746856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

2777 Enterprise Rd
Orange City, FL 32763-8310
Phone (386) 774-2550

350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone (386) 238-3200

740 Dunlawton Ave
Suite 200
Port Orange, FL 32127-4240
Phone (386) 763-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9109535FLMDPhysician Assistant
2133SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Care Plan, Inc CurrentSince Oct 14, 2019 Accepting new patients
Cedar Health Ventures, LLC Past Accepting new patients
Paramount Urgent Care Inc Past Accepting new patients

Locations

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1861530685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 RIDGE HAVEN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323051446",
            "telephone_number": "407-906-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S US HIGHWAY 17/92",
            "address_2": "SUITE 1040",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073295",
            "telephone_number": "407-906-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JAMES",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1478",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4152998",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00406239",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05620342",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.