Individual provider Active NPI

Jonathan David Needler, PA-C

  • Surgical Physician Assistant
  • Destin, FL
National Provider Identifier
1912155490
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1912155490 Issued in FL
Practice address
155 Crystal Beach Dr
Suite 200
Destin, FL 32541-3527
Phone
(850) 460-2350
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA1912155490 FL Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

155 Crystal Beach Dr
Suite 200
Destin, FL 32541-3527

Mailing address

155 Crystal Beach Dr
Ste 200
Destin, FL 32541-3588
Phone (850) 460-2350

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
I20090127000583 FL Practitioner - Physician Assistant 9830253483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

11945 San Jose Blvd
Jacksonville, FL 32223-1627
Phone (904) 396-1725

141 Mack Bayou Loop
Suite 102
Santa Rosa Beach, FL 32459-7194
Phone (850) 812-5243

Hospital & facility affiliations

  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1912155490FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince May 1, 2023 Accepting new patients
North Florida Surgeons, PA CurrentSince May 1, 2023 Accepting new patients
Kapil Puri MD P a PastSince Apr 1, 2008 Accepting new patients
Emerald Coast Hospitalist Inc Past Accepting new patients

Locations

310 Racetrack Rd NW
Ste 100
Fort Walton Beach, FL 32547
Phone (850) 889-4550

1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

141 Mack Bayou Loop
Ste 102
Santa Rsa Bch, FL 32459
Phone (850) 267-0022

Interoperability endpoints

  • Direct secure messaging: jonathan.needler.1@9109.direct.athenahealth.com

Organizations & group practices 5

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1912155490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL BEACH DR",
            "address_2": "STE 200",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413588",
            "telephone_number": "850-460-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL BEACH DR",
            "address_2": "SUITE 200",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413527",
            "telephone_number": "850-460-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDLER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA1912155490",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.