Active NPI
Atlantic Visiting Practice PA
- Psychiatry Physician
- Jacksonville, FL
National Provider Identifier
1023601887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- ATLANTIC VISITING PRACTICE PA
- Practice address
- 6310 Beach Blvd
Jacksonville, FL 32216-2708 - Phone
- (904) 551-9757
- Fax
- (904) 551-9701
- NPI assigned
- Feb 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Babur H Bhatti, MD
- Title
- P, T
- Phone
- (703) 609-6430
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Geriatric Psychiatry Physician | 2084P0805X |
Addresses
Primary practice location
6310 Beach Blvd
Jacksonville, FL 32216-2708
Mailing address
6310 Beach Blvd
Jacksonville, FL 32216-2708
Phone (904) 551-9757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WBPPL | Other | FL | BCBS FL |
| 17113 | Other | FL | BCBS FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613088000000",
"number": "1023601887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322162708",
"telephone_number": "904-551-9757",
"fax_number": "904-551-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322162708",
"telephone_number": "904-551-9757",
"fax_number": "904-551-9701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC VISITING PRACTICE PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A",
"authorized_official_last_name": "BHATTI",
"authorized_official_first_name": "BABUR",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "P, T",
"authorized_official_telephone_number": "703-609-6430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "WBPPL",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "17113",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Atlantic Speech Therapy
- Atlantic Speech Therapy
- Atlantic Spirit, LLC
- Atlantic Structural Energetic Therapy, Inc.
- Atlantic Surgery Center of Jacksonville Beach
- Atlas Air Ambulance LLC
- Atlas Chiropractic & Wellness PL
- Atlas Chiropractic Clinic Inc
- Atlas Mobile Massage Therapy, LLC
- Atlas Physical Therapy & Sports Medicine Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.