Look up the most recent NPI and PECOS records

Mary Jansson Carmon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1900 Harrison Ave, Panama City, FL 32405-4542

PECOS Enrollment

This provider is enrolled in PECOS as MARY CARMON.

Based on the most recent information from CMS, provider Mary Jansson Carmon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1558781534
Provider Type
Individual
Full Name
Carmon, Mary Jansson
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/17/2014
Last Updated
6/3/2025

Contact Information

Practice Location

1900 Harrison Ave, Panama City, FL 32405-4542

(850) 769-1668

(850) 785-2123

Mailing Location

1900 Harrison Ave, Panama City, FL 32405-4542

(850) 769-1668

(850) 785-2123

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11005573 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NP: RN171898 Georgia

Mary Jansson Carmon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Totter, Daniel

Wang, Amy

Young, Catherine Mary

Mohamed, Sara Ehab

Rogers, Joan Barbaree

Wright, Alyssa Lynn

Andrews, Mary M

Cook, Trevor Eugene

Wave, Christie O

Wiggins, Haley