NPIMap

Organization Active NPI

Baptist Specialty Physicians Inc

  • Pediatric Cardiology Physician
  • Tallahassee, FL
National Provider Identifier
1083129019
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
BAPTIST SPECIALTY PHYSICIANS INC
Practice address
2418 E Plaza Dr
Tallahassee, FL 32308-5301
Phone
(850) 629-4861
Fax
(850) 629-4859
NPI assigned
Dec 13, 2017
Organization subpart
Yes
Parent organization
PAVILION HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Thabata Batchelor
Title
Administrator
Phone
(904) 202-5048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X FL Primary

Addresses

Primary practice location

2418 E Plaza Dr
Tallahassee, FL 32308-5301

Mailing address

PO Box 44047
Jacksonville, FL 32231-4047
Phone (904) 376-4083

Other names 1

  • Wolfson Children's Specialty Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Specialty Physicians Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2040 Dan Proctor Dr
Ste 100
Saint Marys, GA 31558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1083129019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44047",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314047",
            "telephone_number": "904-376-4083",
            "fax_number": "904-391-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085301",
            "telephone_number": "850-629-4861",
            "fax_number": "850-629-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST SPECIALTY PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAVILION HEALTH SERVICES INC",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "THABATA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-202-5048"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolfson Children's Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.