Karin J Pardue, M.D.
Individual provider Active NPI Family Medicine Physician · Century, FL
NPI 1972697308 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1972697308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME119749 (FL)
- Practice address
- 8401 N Century Blvd
Century, FL 32535 - Phone
- (850) 256-5314
- Fax
- (850) 256-4433
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jay Hospital Inc
Practice addresses (Care Compare)
14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8011
8401 N Century Blvd
Century, FL 32535-1631
Phone (850) 256-5314
PO Box
Suite 399
Century, FL 32535-0399
Hospital & facility affiliations
- Jay Hospital
- Jay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040316000202 | AL | Practitioner - Family Practice | 0042109571 | Reassigns benefits to 1 organization |
| I20141107000395 | FL | Practitioner - Family Practice | 0042109571 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24484 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geneva County Healthcare Authority, Inc. | Current |
Accepting new patients | |
| Geneva County Healthcare Authority, Inc. | Current |
Accepting new patients | |
| Jay Hospital, Inc. | Current |
Accepting new patients | |
| Jay Hospital, Inc. | Current |
Accepting new patients | |
| Emergency Services of Mobile PC | Past | Accepting new patients | |
| Sacred Heart Health System Inc | Past | Accepting new patients | |
| Geneva County Healthcare Authority Inc | Past | Accepting new patients | |
| Desoto Hospital Association | Past | Accepting new patients | |
| Karin Pardue MD LLC | Family Medicine | Past |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mobile Emergency Group PC | Past | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Jay Hospital Inc | Past | Accepting new patients |
Locations
1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655
8401 N Century Blvd
Century, FL 32535
Phone (850) 256-5314
14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24484 | AL | |
| Family Medicine Physician | 207Q00000X | ME119749 | FL | Yes |
Addresses
Primary practice location
8401 N Century Blvd
Century, FL 32535
Mailing address
PO Box 399
Century, FL 32535-0399
Phone (850) 256-5314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51518970PAR | Other | AL | BC/BS |
| P00141834 | Other | AL | MEDICARE RAILROAD |
Other names
- Karin C Johnson
Other providers in Century, FL
- Jay Hospital Inc
- Eric Adrian Kimsey
- Katie Lynn Lloyd
- Mayo Street Medical, Inc
- Metro Rapid Transportation
- Pensacola Nephrology PA
- Latonya Purifoy
- Renal Care Group of the Southeast, Inc.
- Brittany Schulte
- Marian Barraud Stewart
All providers in Century, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.