Individual provider Active NPI

Jimmy Wayne Lockhart, MD

  • Physical Medicine & Rehabilitation Physician
  • Vero Beach, FL
National Provider Identifier
1881797249
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME90530 Issued in FL
Practice address
1600 37TH Street
Vero Beach, FL 32960
Phone
(772) 778-2106
Fax
(772) 562-5739
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME90530 FL Primary

Addresses

Primary practice location

1600 37TH Street
Vero Beach, FL 32960

Mailing address

1600 37TH St
Vero Beach, FL 32960-4863
Phone (727) 376-6578

Other identifiers 1

IdentifierTypeStateIssuer
270890600MedicaidFL

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
I20040818001186 FL Practitioner - Physical Medicine and Rehabilitation 5597738336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Meharry Medical College School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jimmy Lockhart MD PLGroup PAC ID 2860438348, 3 clinicians

Practice addresses (Care Compare)

1600 37TH St
Vero Beach, FL 32960-4863
Phone (772) 581-3990

Hospital & facility affiliations

  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
  • Enhabit Home Health Home health agency, Vero Beach, FL, CCN 109276
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Encompass Health Rehab Hospital of Treasure Coast Inpatient rehabilitation facility, Vero Beach, FL, CCN 103032

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy Lockhart MD, PL Physical Medicine & Rehabilitation CurrentSince Apr 11, 2005 Accepting new patients

Locations

1600 37th St
Vero Beach, FL 32960
Phone (772) 778-2100

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1881797249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604863",
            "telephone_number": "727-376-6578",
            "fax_number": "727-376-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 37TH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-778-2106",
            "fax_number": "772-562-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "JIMMY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME90530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270890600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.